| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.20 | $80.92 | $120.94 | |
BCBS
| Professional | $54.80 | $73.06 | $91.33 | |
Cigna
| Facility | 26 | $22.16 | $22.16 | $22.16 |
Cigna
| Professional | $45.13 | $89.63 | $188.70 | |
Medica
| Facility | 26 | $44.71 | $126.65 | $126.65 |
Medica
| Professional | $41.14 | $89.08 | $554.82 | |
United
| Professional | $39.93 | $84.16 | $159.22 |