| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
BCBS
| Facility | $252.82 | $342.64 | $643.22 | |
Cigna
| Facility | $72.89 | $72.89 | $72.89 | |
Medica
| Facility | $78.00 | $131.44 | $150.08 | |
Midlands
| Facility | $72.89 | $85.03 | $117.10 |