| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.03 | $283.13 | $353.89 |
Aetna
| Professional | 26 | $90.00 | $155.00 | $291.50 |
BCBS
| Professional | 26 | $61.98 | $82.64 | $400.29 |
Cigna
| Professional | 26 | $58.08 | $114.92 | $177.05 |
Medica
| Facility | 26 | $197.95 | $1,566.00 | $1,566.00 |
Medica
| Professional | 26 | $75.45 | $85.60 | $2,660.92 |
United
| Professional | 26 | $75.45 | $83.48 | $182.28 |