| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.67 | $44.67 | $48.98 |
Aetna
| Professional | $57.54 | $66.07 | $87.10 | |
Aetna
| Professional | 26 | $39.81 | $44.67 | $61.66 |
BCBS
| Professional | $112.20 | $151.36 | $165.96 | |
BCBS
| Professional | 26 | $77.62 | $102.33 | $114.82 |
Cigna
| Professional | $67.61 | $123.03 | $177.83 | |
Cigna
| Professional | 26 | $44.67 | $83.18 | $123.03 |
Medica
| Professional | $70.79 | $117.49 | $407.38 | |
Medica
| Professional | 26 | $50.12 | $83.18 | $281.84 |
United
| Professional | $70.79 | $114.82 | $162.18 | |
United
| Professional | 26 | $50.12 | $83.18 | $117.49 |