| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.82 | $45.82 | $45.82 |
Aetna
| Professional | $49.08 | $66.12 | $87.64 | |
Aetna
| Professional | 26 | $33.97 | $45.82 | $62.35 |
BCBS
| Professional | $123.40 | $150.07 | $164.54 | |
BCBS
| Professional | 26 | $84.60 | $102.89 | $112.80 |
Cigna
| Professional | $71.77 | $145.88 | $215.74 | |
Cigna
| Professional | 26 | $51.84 | $99.50 | $147.15 |
Medica
| Professional | $70.52 | $120.38 | $404.18 | |
Medica
| Professional | 26 | $50.17 | $84.06 | $278.89 |
United
| Professional | $64.95 | $115.70 | $153.47 | |
United
| Professional | 26 | $46.19 | $82.33 | $108.96 |