| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.14 | $94.14 | $100.84 | |
Aetna
| Professional | $94.14 | $94.14 | $94.14 | |
BCBS
| Facility | $219.11 | $288.19 | $557.46 | |
BCBS
| Professional | $205.96 | $226.78 | $233.91 | |
Cigna
| Professional | $171.16 | $259.16 | $323.95 | |
Medica
| Facility | $85.58 | $178.87 | $677.49 | |
Medica
| Professional | $85.58 | $85.58 | $412.20 | |
Midlands
| Facility | $171.16 | $280.66 | $396.65 | |
Midlands
| Professional | $171.16 | $280.66 | $365.13 | |
United
| Professional | $81.30 | $85.58 | $92.71 |