| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.31 | $105.31 | $105.31 | |
Aetna
| Professional | $98.31 | $98.31 | $98.31 | |
BCBS
| Facility | $229.65 | $302.05 | $584.26 | |
BCBS
| Professional | $250.25 | $309.63 | $325.93 | |
Cigna
| Professional | $238.49 | $361.00 | $451.25 | |
Medica
| Facility | $98.31 | $248.37 | $944.02 | |
Medica
| Professional | $89.38 | $89.38 | $478.35 | |
Midlands
| Facility | $192.22 | $306.86 | $467.23 | |
Midlands
| Professional | $192.22 | $321.27 | $381.34 | |
United
| Professional | $84.91 | $89.38 | $297.92 |