| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.42 | $21.42 | $21.42 | |
Aetna
| Professional | $13.81 | $16.16 | $21.42 | |
BCBS
| Facility | $289.76 | $340.89 | $406.43 | |
BCBS
| Professional | $19.89 | $33.04 | $45.65 | |
Cigna
| Professional | $22.55 | $36.94 | $49.05 | |
Medica
| Facility | $14.95 | $21.42 | $45.07 | |
Medica
| Professional | $17.85 | $22.44 | $138.46 | |
Midlands
| Facility | $26.50 | $37.86 | $52.02 | |
Midlands
| Professional | $26.50 | $37.86 | $58.28 | |
United
| Professional | $17.85 | $22.44 | $51.83 |