| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.29 | $37.29 | $52.15 | |
Aetna
| Professional | $37.29 | $71.59 | $124.75 | |
BCBS
| Facility | $328.36 | $424.90 | $666.05 | |
BCBS
| Professional | $39.28 | $72.09 | $107.93 | |
Cigna
| Professional | $78.94 | $106.82 | $133.97 | |
Medica
| Facility | $42.75 | $72.73 | $184.85 | |
Medica
| Professional | $88.64 | $131.78 | $693.25 | |
Midlands
| Facility | $85.74 | $109.49 | $148.93 | |
Midlands
| Professional | $80.91 | $109.49 | $150.26 | |
United
| Professional | $88.64 | $124.38 | $183.50 |