| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.82 | $14.82 | $28.36 |
Aetna
| Professional | $48.47 | $63.31 | $115.48 | |
BCBS
| Professional | $86.81 | $86.81 | $86.81 | |
Cigna
| Professional | $51.81 | $71.39 | $133.00 | |
Medica
| Facility | 26 | $28.91 | $28.91 | $169.20 |
Medica
| Professional | $56.43 | $81.86 | $452.94 | |
United
| Professional | $54.50 | $71.09 | $111.52 |