| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $236.70 | |
Aetna
| Professional | $163.24 | $163.24 | $273.95 | |
BCBS
| Facility | $121.65 | $143.12 | $480.32 | |
BCBS
| Professional | $135.96 | $141.69 | $143.12 | |
Cigna
| Professional | $160.50 | $179.39 | $200.63 | |
Medica
| Facility | $125.55 | $310.16 | $492.01 | |
Medica
| Professional | $164.98 | $181.48 | $197.98 | |
Midlands
| Facility | $145.36 | $149.90 | $149.90 | |
Midlands
| Professional | $126.87 | $145.53 | $215.35 | |
United
| Professional | $164.98 | $181.48 | $194.68 |