| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.84 | $118.26 | $190.89 |
Aetna
| Professional | 26 | $83.50 | $100.00 | $492.43 |
Anthem BCBS
| Professional | 26 | $88.87 | $109.33 | $183.11 |
Cigna
| Professional | 26 | $73.31 | $125.36 | $179.86 |
Medica
| Facility | 26 | $197.95 | $1,566.00 | $1,566.00 |
Medica
| Professional | 26 | $77.79 | $110.74 | $2,660.92 |
United
| Professional | 26 | $78.39 | $107.74 | $185.93 |