| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.90 | $80.90 | $80.90 | |
Aetna
| Professional | $75.52 | $75.52 | $75.52 | |
BCBS
| Facility | $96.21 | $125.53 | $244.78 | |
BCBS
| Professional | $86.95 | $173.93 | $187.66 | |
Cigna
| Professional | $131.75 | $208.24 | $260.30 | |
Medica
| Facility | $68.66 | $143.49 | $543.54 | |
Medica
| Professional | $68.66 | $68.66 | $228.86 | |
Midlands
| Facility | $137.43 | $217.84 | $235.73 | |
Midlands
| Professional | $137.32 | $224.37 | $298.66 | |
United
| Professional | $48.06 | $68.66 | $125.87 |