| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.79 | $103.51 | $129.38 |
Aetna
| Professional | $169.28 | $235.31 | $1,532.71 | |
BCBS
| Professional | $199.82 | $266.43 | $1,290.53 | |
Cigna
| Professional | $178.10 | $249.57 | $394.99 | |
Medica
| Facility | 26 | $71.45 | $137.78 | $137.78 |
Medica
| Professional | $154.29 | $227.00 | $1,553.08 | |
United
| Professional | $154.29 | $227.00 | $427.30 |