| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.29 | $30.29 | $30.29 | |
BCBS
| Facility | $1,479.07 | $1,913.91 | $3,000.14 | |
Cigna
| Facility | $11.00 | $11.00 | $11.00 | |
Medica
| Facility | $30.29 | $51.19 | $77.37 | |
Midlands
| Facility | $49.11 | $66.70 | $83.81 |