| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.24 | $332.24 | $355.90 | |
Aetna
| Professional | $332.24 | $332.24 | $332.24 | |
BCBS
| Facility | $441.74 | $576.36 | $1,123.85 | |
BCBS
| Professional | $382.57 | $765.16 | $825.58 | |
Cigna
| Professional | $578.20 | $913.92 | $1,142.40 | |
Medica
| Facility | $302.04 | $598.03 | $2,391.15 | |
Medica
| Professional | $302.04 | $302.04 | $1,006.80 | |
Midlands
| Facility | $604.08 | $920.59 | $1,037.00 | |
Midlands
| Professional | $604.58 | $990.66 | $1,313.87 | |
United
| Facility | $181.22 | $211.43 | $302.04 | |
United
| Professional | $286.94 | $302.04 | $1,006.80 |