| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.52 | $14.52 | $14.52 | |
Aetna
| Professional | $14.46 | $14.52 | $14.52 | |
BCBS
| Facility | $667.17 | $904.19 | $1,697.40 | |
BCBS
| Professional | $28.19 | $30.14 | $30.89 | |
Cigna
| Professional | $20.99 | $34.53 | $39.58 | |
Medica
| Facility | $14.52 | $23.96 | $71.14 | |
Medica
| Professional | $17.96 | $29.43 | $100.43 | |
Midlands
| Facility | $20.99 | $29.09 | $39.58 | |
Midlands
| Professional | $20.99 | $26.73 | $39.58 | |
United
| Professional | $17.96 | $27.28 | $36.68 |