| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.71 | $32.71 | $53.44 | |
Aetna
| Professional | $32.71 | $42.25 | $65.95 | |
BCBS
| Facility | $75.67 | $97.91 | $153.47 | |
BCBS
| Professional | $34.39 | $65.31 | $110.42 | |
Cigna
| Professional | $67.84 | $100.89 | $130.61 | |
Medica
| Facility | $38.79 | $62.15 | $109.36 | |
Medica
| Professional | $71.30 | $103.41 | $514.16 | |
Midlands
| Facility | $73.78 | $103.41 | $135.16 | |
Midlands
| Professional | $69.54 | $97.11 | $131.63 | |
United
| Professional | $76.31 | $104.78 | $139.41 |