| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.81 | $81.81 | $81.81 | |
Aetna
| Professional | $81.34 | $81.81 | $162.09 | |
BCBS
| Facility | $74.44 | $97.13 | $189.39 | |
BCBS
| Professional | $131.88 | $225.06 | $316.62 | |
Cigna
| Professional | $68.25 | $85.31 | $189.97 | |
Medica
| Facility | $81.81 | $155.46 | $499.63 | |
Medica
| Professional | $78.59 | $250.94 | $492.44 | |
Midlands
| Facility | $87.61 | $189.97 | $273.18 | |
Midlands
| Professional | $87.61 | $163.75 | $514.44 | |
United
| Professional | $95.96 | $267.89 | $474.17 |