| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.97 | $162.97 | $174.57 | |
Aetna
| Professional | $162.97 | $162.97 | $162.97 | |
BCBS
| Facility | $229.65 | $299.63 | $584.26 | |
BCBS
| Professional | $187.66 | $375.31 | $404.94 | |
Cigna
| Professional | $283.73 | $354.66 | $560.59 | |
Medica
| Facility | $148.15 | $293.35 | $1,172.86 | |
Medica
| Professional | $148.15 | $148.15 | $493.84 | |
Midlands
| Facility | $296.55 | $451.55 | $552.59 | |
Midlands
| Professional | $296.55 | $538.08 | $644.46 | |
United
| Facility | $148.15 | $271.61 | $987.68 | |
United
| Professional | $140.74 | $148.15 | $493.84 |