| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $371.54 | $457.09 | |
Aetna
| Professional | $186.21 | $218.78 | $371.54 | |
BCBS
| Facility | $616.60 | $794.33 | $1,548.82 | |
BCBS
| Professional | $186.21 | $309.03 | $426.58 | |
Cigna
| Professional | $204.17 | $416.87 | $537.03 | |
Medica
| Facility | $186.21 | $288.40 | $489.78 | |
Medica
| Professional | $323.59 | $426.58 | $1,288.25 | |
Midlands
| Professional | $407.38 | $436.52 | $537.03 | |
Midlands
| Professional | $436.52 | $457.09 | $489.78 | |
United
| Professional | $275.42 | $398.11 | $512.86 |