| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $154.88 | $154.88 | $158.49 |
Aetna
| Professional | $177.83 | $204.17 | $275.42 | |
BCBS
| Professional | $316.23 | $426.58 | $467.74 | |
Cigna
| Professional | $158.49 | $354.81 | $512.86 | |
Medica
| Professional | $204.17 | $371.54 | $1,348.96 | |
United
| Professional | $204.17 | $371.54 | $501.19 |