| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.97 | $15.97 | $35.15 | |
Aetna
| Professional | $15.97 | $25.92 | $44.10 | |
BCBS
| Facility | $75.67 | $97.91 | $153.47 | |
BCBS
| Professional | $16.80 | $34.86 | $72.65 | |
Cigna
| Professional | $33.33 | $63.13 | $87.08 | |
Medica
| Facility | $18.95 | $37.57 | $68.08 | |
Medica
| Professional | $45.22 | $64.31 | $251.37 | |
Midlands
| Facility | $37.31 | $64.70 | $88.93 | |
Midlands
| Professional | $34.15 | $53.21 | $87.08 | |
United
| Professional | $42.70 | $64.31 | $88.23 |