| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.82 | $119.25 | $440.67 | |
Aetna
| Professional | $15.71 | $17.41 | $35.08 | |
BCBS
| Facility | $44.95 | $58.64 | $114.35 | |
BCBS
| Professional | $18.30 | $36.61 | $39.50 | |
Cigna
| Facility | $59.00 | $59.00 | $59.00 | |
Cigna
| Professional | $22.12 | $34.59 | $54.67 | |
Medica
| Facility | $14.45 | $35.86 | $186.19 | |
Medica
| Professional | $12.60 | $14.45 | $48.18 | |
Midlands
| Facility | $22.12 | $40.13 | $64.73 | |
Midlands
| Professional | $28.93 | $44.18 | $62.87 | |
United
| Professional | $12.60 | $14.45 | $26.50 |