| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.66 | $18.07 | $18.07 |
Aetna
| Professional | $76.56 | $78.18 | $89.90 | |
BCBS
| Professional | $18.89 | $84.00 | $115.34 | |
Cigna
| Professional | $49.28 | $89.33 | $118.46 | |
Medica
| Facility | 26 | $44.71 | $126.65 | $126.65 |
Medica
| Professional | $48.30 | $92.56 | $554.82 | |
United
| Professional | $47.25 | $85.92 | $152.12 |