| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $141.25 | $141.25 | $141.25 |
Aetna
| Professional | $169.82 | $199.53 | $371.54 | |
BCBS
| Professional | $147.91 | $213.80 | $309.03 | |
Cigna
| Professional | $154.88 | $229.09 | $302.00 | |
Medica
| Facility | 26 | $338.84 | $660.69 | $660.69 |
Medica
| Professional | $162.18 | $213.80 | $1,348.96 | |
United
| Professional | $162.18 | $199.53 | $323.59 |