| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.54 | $21.54 | $21.54 | |
BCBS
| Professional | $34.67 | $49.10 | $51.89 | |
Cigna
| Professional | $58.23 | $62.67 | $75.88 | |
Medica
| Facility | 26 | $118.08 | $118.08 | $118.08 |
Medica
| Professional | $32.64 | $35.54 | $213.96 | |
Midlands
| Facility | 26 | $75.94 | $75.94 | $75.94 |
Midlands
| Professional | $55.36 | $62.67 | $79.39 | |
Oscar Health
| Professional | $7.72 | $36.19 | $63.10 | |
United
| Professional | $31.01 | $34.39 | $73.68 |