| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.11 | $22.11 | $22.42 | |
Aetna
| Professional | $14.34 | $17.72 | $22.42 | |
BCBS
| Facility | $289.76 | $340.89 | $406.43 | |
BCBS
| Professional | $21.03 | $34.97 | $47.79 | |
Cigna
| Professional | $20.64 | $38.64 | $51.38 | |
Medica
| Facility | $15.67 | $22.42 | $41.48 | |
Medica
| Professional | $18.68 | $23.49 | $142.72 | |
Midlands
| Facility | $27.33 | $39.08 | $48.27 | |
Midlands
| Professional | $27.33 | $39.08 | $54.48 | |
United
| Professional | $18.68 | $21.14 | $57.10 |