| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $186.21 | $309.03 | |
Aetna
| Professional | $63.10 | $87.10 | $316.23 | |
BCBS
| Facility | $177.83 | $223.87 | $457.09 | |
BCBS
| Professional | $89.13 | $151.36 | $204.17 | |
Cigna
| Facility | $109.65 | $109.65 | $134.90 | |
Cigna
| Professional | $85.11 | $114.82 | $213.80 | |
Medica
| Facility | $83.18 | $177.83 | $275.42 | |
Medica
| Professional | $77.62 | $154.88 | $245.47 | |
Midlands
| Professional | $107.15 | $151.36 | $213.80 | |
Midlands
| Facility | $109.65 | $109.65 | $109.65 | |
Midlands
| Professional | $107.15 | $112.20 | $234.42 | |
United
| Facility | $81.28 | $91.20 | $91.20 | |
United
| Professional | $69.18 | $83.18 | $213.80 |