| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $8.91 | $18.20 | $19.50 |
Aetna
| Professional | $60.26 | $75.86 | $114.82 | |
BCBS
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $69.18 | $109.65 | $154.88 | |
Medica
| Facility | 26 | $20.89 | $20.89 | $20.89 |
Medica
| Professional | $81.28 | $97.72 | $512.86 | |
United
| Professional | $79.43 | $93.33 | $125.89 |