| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.87 | $59.87 | $59.87 | |
Aetna
| Professional | $59.87 | $59.87 | $69.97 | |
BCBS
| Facility | $252.82 | $342.64 | $643.22 | |
BCBS
| Professional | $107.08 | $115.65 | $119.73 | |
Cigna
| Professional | $120.32 | $149.53 | $333.09 | |
Medica
| Facility | $59.29 | $101.78 | $292.17 | |
Medica
| Professional | $76.26 | $112.74 | $182.04 | |
Midlands
| Facility | $82.07 | $120.32 | $333.09 | |
Midlands
| Professional | $82.07 | $120.32 | $333.09 | |
United
| Professional | $76.26 | $112.74 | $158.88 |