| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $380.19 | $707.95 | |
Aetna
| Professional | $93.33 | $107.15 | $141.25 | |
BCBS
| Facility | $218.78 | $288.40 | $562.34 | |
BCBS
| Professional | $204.17 | $223.87 | $234.42 | |
Cigna
| Professional | $169.82 | $275.42 | $338.84 | |
Medica
| Facility | $51.29 | $93.33 | $676.08 | |
Medica
| Professional | $60.26 | $85.11 | $416.87 | |
Midlands
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Facility | $60.26 | $134.90 | $288.40 | |
United
| Professional | $81.28 | $85.11 | $141.25 |