| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.04 | $74.52 | $188.93 | |
Aetna
| Professional | $13.35 | $15.73 | $17.43 | |
BCBS
| Facility | $44.95 | $58.64 | $114.35 | |
BCBS
| Professional | $18.32 | $36.64 | $39.53 | |
Cigna
| Facility | $147.00 | $147.00 | $147.00 | |
Cigna
| Professional | $22.12 | $35.11 | $55.49 | |
Medica
| Facility | $14.47 | $35.86 | $188.00 | |
Medica
| Professional | $10.85 | $14.47 | $48.22 | |
Midlands
| Facility | $22.12 | $40.13 | $64.73 | |
Midlands
| Professional | $28.96 | $44.21 | $62.93 | |
United
| Professional | $10.85 | $14.47 | $48.22 |