| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.88 | $45.88 | $69.52 | |
Aetna
| Professional | $45.88 | $69.52 | $447.01 | |
BCBS
| Facility | $225.43 | $294.13 | $573.54 | |
BCBS
| Professional | $52.84 | $105.67 | $114.01 | |
Cigna
| Professional | $80.12 | $100.15 | $158.30 | |
Medica
| Facility | $41.71 | $87.17 | $330.22 | |
Medica
| Professional | $41.71 | $41.71 | $139.04 | |
Midlands
| Facility | $83.50 | $132.35 | $272.89 | |
Midlands
| Professional | $83.50 | $134.18 | $181.45 | |
United
| Professional | $39.63 | $41.71 | $139.04 |