| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $89.13 | $125.89 | $154.88 |
Aetna
| Professional | 26 | $85.11 | $125.89 | $239.88 |
BCBS
| Professional | 26 | $151.36 | $199.53 | $223.87 |
Cigna
| Professional | 26 | $107.15 | $138.04 | $213.80 |
Medica
| Professional | 26 | $89.13 | $173.78 | $549.54 |
United
| Professional | 26 | $89.13 | $169.82 | $239.88 |