| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.27 | $37.27 | $37.27 | |
BCBS
| Facility | $48.46 | $63.23 | $123.28 | |
BCBS
| Professional | $40.06 | $80.12 | $86.43 | |
Cigna
| Professional | $60.71 | $95.96 | $119.95 | |
Medica
| Facility | $31.63 | $62.62 | $250.37 | |
Medica
| Professional | $31.63 | $31.63 | $105.42 | |
Midlands
| Facility | $63.25 | $97.41 | $123.36 | |
Midlands
| Professional | $63.31 | $98.22 | $123.36 | |
United
| Professional | $30.04 | $31.63 | $105.42 |