| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $93.33 | $173.78 | |
Aetna
| Professional | $22.91 | $25.70 | $34.67 | |
BCBS
| Facility | $79.43 | $104.71 | $204.17 | |
BCBS
| Professional | $50.12 | $54.95 | $57.54 | |
Cigna
| Professional | $41.69 | $66.07 | $83.18 | |
Medica
| Facility | $12.59 | $22.91 | $165.96 | |
Medica
| Professional | $14.79 | $20.89 | $102.33 | |
Midlands
| Professional | $41.69 | $41.69 | $41.69 | |
United
| Facility | $14.79 | $33.11 | $70.79 | |
United
| Professional | $19.95 | $20.89 | $35.48 |