| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.45 | $51.47 | $84.68 |
Aetna
| Professional | $249.18 | $280.00 | $926.96 | |
Anthem BCBS
| Professional | $269.00 | $361.74 | $549.85 | |
Cigna
| Professional | $201.64 | $408.29 | $639.22 | |
Medica
| Facility | 26 | $87.61 | $180.12 | $180.12 |
Medica
| Professional | $273.94 | $397.95 | $1,900.36 | |
United
| Professional | $273.94 | $393.51 | $659.04 |