| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.04 | $37.04 | $37.04 | |
Aetna
| Professional | $37.04 | $37.04 | $37.04 | |
BCBS
| Facility | $132.72 | $174.58 | $337.69 | |
BCBS
| Professional | $36.84 | $62.15 | $83.73 | |
Cigna
| Professional | $78.05 | $97.00 | $215.43 | |
Medica
| Facility | $37.04 | $55.56 | $190.76 | |
Medica
| Professional | $51.14 | $84.84 | $112.88 | |
Midlands
| Facility | $53.48 | $78.05 | $215.43 | |
Midlands
| Professional | $53.48 | $78.05 | $215.43 | |
United
| Professional | $51.14 | $87.33 | $97.45 |