| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.96 | $62.51 | $84.20 | |
Aetna
| Professional | 26 | $35.38 | $43.45 | $57.56 |
BCBS
| Professional | $46.73 | $62.31 | $77.89 | |
BCBS
| Professional | 26 | $32.09 | $42.78 | $53.48 |
Cigna
| Facility | 26 | $50.53 | $50.53 | $50.53 |
Cigna
| Professional | $58.88 | $84.53 | $137.69 | |
Cigna
| Professional | 26 | $41.08 | $60.41 | $98.50 |
Medica
| Facility | 26 | $104.07 | $201.33 | $201.33 |
Medica
| Professional | $56.48 | $72.00 | $404.18 | |
Medica
| Professional | 26 | $39.68 | $51.20 | $278.89 |
United
| Professional | $55.80 | $66.59 | $129.27 | |
United
| Professional | 26 | $39.68 | $47.36 | $92.16 |