| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.31 | $28.31 | $28.31 |
Aetna
| Professional | $141.62 | $177.24 | $261.04 | |
BCBS
| Professional | $295.94 | $355.84 | $437.67 | |
Cigna
| Professional | $144.55 | $334.89 | $515.57 | |
Medica
| Professional | $142.55 | $259.80 | $1,185.08 | |
United
| Professional | $142.55 | $262.64 | $411.08 |