| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $64.57 | $95.50 | |
Aetna
| Professional | 26 | $38.02 | $44.67 | $70.79 |
BCBS
| Professional | $54.95 | $66.07 | $123.03 | |
BCBS
| Professional | 26 | $37.15 | $44.67 | $85.11 |
Cigna
| Professional | $60.26 | $85.11 | $138.04 | |
Cigna
| Professional | 26 | $41.69 | $58.88 | $97.72 |
Medica
| Facility | 26 | $104.71 | $199.53 | $199.53 |
Medica
| Professional | $56.23 | $77.62 | $407.38 | |
Medica
| Professional | 26 | $39.81 | $54.95 | $281.84 |
United
| Professional | $56.23 | $69.18 | $123.03 | |
United
| Professional | 26 | $38.90 | $48.98 | $87.10 |