| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.49 | $45.49 | $68.92 | |
Aetna
| Professional | $45.49 | $45.49 | $443.16 | |
BCBS
| Facility | $225.43 | $294.13 | $573.54 | |
BCBS
| Professional | $52.38 | $104.76 | $113.03 | |
Cigna
| Professional | $79.30 | $99.12 | $156.66 | |
Medica
| Facility | $41.35 | $86.43 | $327.37 | |
Medica
| Professional | $41.35 | $41.35 | $137.84 | |
Midlands
| Facility | $82.77 | $141.97 | $318.08 | |
Midlands
| Professional | $82.77 | $142.15 | $179.88 | |
United
| Professional | $39.28 | $41.35 | $137.84 |