| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.88 | $63.10 | $67.61 |
Aetna
| Professional | $162.18 | $218.78 | $363.08 | |
BCBS
| Professional | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $53.70 | $208.93 | $436.52 | |
Medica
| Facility | 26 | $70.79 | $70.79 | $70.79 |
Medica
| Professional | $169.82 | $269.15 | $1,548.82 | |
United
| Professional | $169.82 | $239.88 | $363.08 |