| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.01 | $190.81 | $381.94 | |
Aetna
| Professional | $41.01 | $56.40 | $64.65 | |
BCBS
| Facility | $96.21 | $125.53 | $244.78 | |
BCBS
| Professional | $47.21 | $94.45 | $101.91 | |
Cigna
| Facility | $161.00 | $161.00 | $161.00 | |
Cigna
| Professional | $45.56 | $89.31 | $141.16 | |
Medica
| Facility | $60.24 | $167.44 | $409.00 | |
Medica
| Professional | $31.03 | $37.28 | $124.28 | |
Midlands
| Facility | $74.56 | $118.53 | $305.91 | |
Midlands
| Professional | $74.56 | $118.53 | $167.60 | |
United
| Professional | $31.03 | $37.28 | $68.34 |