| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.81 | $12.81 | $12.81 |
Aetna
| Professional | $49.94 | $60.70 | $90.46 | |
BCBS
| Professional | $103.89 | $128.21 | $134.44 | |
Cigna
| Professional | $72.40 | $109.72 | $169.34 | |
Medica
| Facility | 26 | $28.91 | $28.91 | $169.20 |
Medica
| Professional | $54.50 | $99.28 | $452.94 | |
United
| Professional | $54.35 | $84.67 | $122.48 |