| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.20 | $20.20 | $20.20 |
Aetna
| Professional | $67.13 | $86.03 | $114.69 | |
BCBS
| Professional | $154.13 | $185.65 | $206.41 | |
Cigna
| Professional | $66.98 | $172.04 | $268.85 | |
Medica
| Professional | $92.39 | $168.47 | $554.82 | |
United
| Professional | $92.39 | $168.37 | $219.89 |