| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.84 | $102.00 | $941.25 | |
Aetna
| Professional | $15.41 | $76.25 | $143.44 | |
BCBS
| Facility | $30.20 | $39.40 | $76.83 | |
BCBS
| Professional | $13.61 | $27.25 | $29.41 | |
Cigna
| Facility | $57.00 | $57.00 | $57.00 | |
Cigna
| Professional | $17.69 | $21.97 | $40.79 | |
Medica
| Facility | $14.71 | $34.89 | $133.94 | |
Medica
| Professional | $8.07 | $10.76 | $27.57 | |
Midlands
| Facility | $21.52 | $26.20 | $51.04 | |
Midlands
| Professional | $20.00 | $36.54 | $46.80 | |
United
| Professional | $8.89 | $10.76 | $19.72 |