| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.08 | $18.20 | $26.92 |
Aetna
| Professional | $64.57 | $79.43 | $199.53 | |
Anthem BCBS
| Professional | $74.13 | $91.20 | $138.04 | |
BCBS
| Professional | $83.18 | $93.33 | $131.83 | |
Cigna
| Professional | $69.18 | $114.82 | $151.36 | |
Medica
| Facility | 26 | $20.89 | $70.79 | $70.79 |
Medica
| Professional | $70.79 | $102.33 | $436.52 | |
United
| Professional | $72.44 | $97.72 | $158.49 |