| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.21 | $139.21 | $139.21 | |
Aetna
| Professional | $139.21 | $139.21 | $139.21 | |
BCBS
| Facility | $132.72 | $174.58 | $337.69 | |
BCBS
| Professional | $138.38 | $233.46 | $314.50 | |
Cigna
| Professional | $293.16 | $364.31 | $809.16 | |
Medica
| Facility | $139.21 | $236.66 | $714.54 | |
Medica
| Professional | $191.91 | $318.44 | $423.70 | |
Midlands
| Facility | $200.75 | $293.16 | $809.16 | |
Midlands
| Professional | $200.75 | $293.16 | $809.16 | |
United
| Professional | $206.67 | $347.38 | $365.65 |