| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.74 | $40.74 | $40.74 |
Aetna
| Professional | $57.54 | $64.57 | $79.43 | |
Aetna
| Professional | 26 | $39.81 | $43.65 | $57.54 |
BCBS
| Professional | $43.65 | $60.26 | $81.28 | |
Cigna
| Professional | $63.10 | $83.18 | $104.71 | |
Cigna
| Professional | 26 | $44.67 | $60.26 | $75.86 |
Medica
| Facility | 26 | $104.71 | $199.53 | $199.53 |
Medica
| Professional | $53.70 | $70.79 | $407.38 | |
Medica
| Professional | 26 | $38.02 | $51.29 | $281.84 |
United
| Professional | $52.48 | $67.61 | $104.71 | |
United
| Professional | 26 | $37.15 | $48.98 | $74.13 |