| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.35 | $36.35 | $44.71 | |
Aetna
| Professional | $36.35 | $44.71 | $114.36 | |
BCBS
| Facility | $328.36 | $424.90 | $666.05 | |
BCBS
| Professional | $38.14 | $65.68 | $91.90 | |
Cigna
| Professional | $77.94 | $95.43 | $122.13 | |
Medica
| Facility | $38.00 | $63.61 | $114.33 | |
Medica
| Professional | $76.77 | $105.94 | $477.31 | |
Midlands
| Facility | $79.89 | $99.59 | $123.54 | |
Midlands
| Professional | $73.12 | $97.82 | $123.32 | |
United
| Professional | $76.77 | $105.29 | $117.69 |