| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $125.00 | $172.44 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $265.00 |
BCBS
| Professional | 26 | $193.66 | $232.84 | $255.28 |
Cigna
| Professional | 26 | $107.20 | $187.78 | $247.44 |
Medica
| Professional | 26 | $112.39 | $207.01 | $1,192.32 |
United
| Professional | 26 | $119.44 | $197.17 | $266.70 |