| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.80 | $52.80 | $102.76 |
Aetna
| Professional | $53.68 | $69.16 | $147.05 | |
Aetna
| Professional | 26 | $38.45 | $47.24 | $102.76 |
BCBS
| Professional | $98.97 | $98.97 | $98.97 | |
Cigna
| Professional | $72.04 | $92.41 | $206.93 | |
Cigna
| Professional | 26 | $51.21 | $66.26 | $142.99 |
Medica
| Facility | 26 | $104.07 | $104.07 | $104.07 |
Medica
| Professional | $68.20 | $85.87 | $404.18 | |
Medica
| Professional | 26 | $48.50 | $61.56 | $278.89 |
United
| Professional | $64.95 | $81.09 | $152.71 | |
United
| Professional | 26 | $46.86 | $57.91 | $109.98 |