| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.40 | $93.41 | $126.93 |
Aetna
| Professional | $184.63 | $202.44 | $854.37 | |
Anthem BCBS
| Professional | $208.72 | $256.64 | $495.14 | |
Cigna
| Professional | $152.66 | $324.45 | $475.07 | |
Medica
| Facility | 26 | $131.11 | $256.77 | $256.77 |
Medica
| Professional | $208.30 | $314.57 | $2,091.00 | |
United
| Professional | $199.50 | $302.08 | $504.61 |