| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.92 | $215.92 | $320.58 | |
Aetna
| Professional | $51.99 | $51.99 | $506.49 | |
BCBS
| Facility | $73.73 | $96.21 | $187.61 | |
BCBS
| Professional | $59.86 | $119.73 | $129.18 | |
Cigna
| Professional | $28.09 | $94.52 | $179.52 | |
Medica
| Facility | $47.26 | $146.44 | $374.16 | |
Medica
| Professional | $23.17 | $47.26 | $105.08 | |
Midlands
| Facility | $34.76 | $102.83 | $162.27 | |
Midlands
| Professional | $56.30 | $94.61 | $200.86 | |
United
| Professional | $23.35 | $47.26 | $157.54 |