| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $125.00 | $149.40 |
Aetna
| Professional | 26 | $89.41 | $200.00 | $265.00 |
BCBS
| Professional | 26 | $166.63 | $200.35 | $219.66 |
Cigna
| Professional | 26 | $115.81 | $163.66 | $215.22 |
Medica
| Professional | 26 | $102.00 | $176.19 | $554.45 |
United
| Professional | 26 | $102.00 | $166.91 | $219.69 |