| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.39 | $57.39 | $57.39 | |
Aetna
| Professional | $49.36 | $57.39 | $74.05 | |
BCBS
| Facility | $328.36 | $424.90 | $666.05 | |
BCBS
| Professional | $150.49 | $287.81 | $494.24 | |
Cigna
| Professional | $109.33 | $141.80 | $255.73 | |
Medica
| Facility | $52.21 | $97.56 | $152.91 | |
Medica
| Professional | $74.03 | $96.06 | $564.65 | |
Midlands
| Facility | $114.10 | $134.90 | $255.73 | |
Midlands
| Professional | $114.10 | $134.90 | $255.73 | |
United
| Professional | $76.34 | $90.23 | $132.77 |