| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.53 | $42.40 | $69.76 |
Aetna
| Professional | $169.28 | $221.60 | $546.38 | |
Anthem BCBS
| Professional | $178.21 | $216.28 | $364.82 | |
Cigna
| Professional | $162.54 | $260.99 | $522.67 | |
Medica
| Facility | 26 | $71.45 | $137.78 | $137.78 |
Medica
| Professional | $178.12 | $274.88 | $1,553.08 | |
United
| Professional | $191.03 | $278.41 | $534.12 |