| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.47 | $279.47 | $279.47 | |
Aetna
| Professional | $276.77 | $279.47 | $279.47 | |
BCBS
| Facility | $667.17 | $904.19 | $1,697.40 | |
BCBS
| Professional | $507.91 | $542.89 | $556.47 | |
Cigna
| Professional | $559.19 | $694.91 | $1,548.07 | |
Medica
| Facility | $276.77 | $465.04 | $2,894.15 | |
Medica
| Professional | $346.88 | $592.48 | $1,555.83 | |
Midlands
| Facility | $559.19 | $853.86 | $1,548.07 | |
Midlands
| Professional | $381.41 | $559.19 | $1,548.07 | |
United
| Professional | $346.88 | $578.48 | $741.66 |