| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.46 | $41.46 | $41.46 |
Aetna
| Professional | $49.08 | $60.07 | $71.78 | |
Aetna
| Professional | 26 | $33.97 | $42.32 | $48.80 |
BCBS
| Professional | $43.75 | $60.08 | $83.62 | |
Cigna
| Professional | $61.48 | $82.51 | $101.50 | |
Cigna
| Professional | 26 | $42.68 | $59.22 | $72.28 |
Medica
| Facility | 26 | $104.07 | $201.33 | $201.33 |
Medica
| Professional | $55.22 | $73.50 | $404.18 | |
Medica
| Professional | 26 | $39.27 | $53.12 | $278.89 |
United
| Professional | $55.22 | $68.40 | $124.27 | |
United
| Professional | 26 | $39.27 | $48.64 | $82.81 |