| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.90 | $108.68 | $127.86 | |
BCBS
| Professional | $128.78 | $210.44 | $295.64 | |
Cigna
| Professional | $205.25 | $293.82 | $357.06 | |
Medica
| Facility | $127.86 | $142.03 | $685.02 | |
Medica
| Professional | $210.04 | $315.05 | $460.33 | |
Midlands
| Facility | $205.25 | $346.04 | $463.27 | |
Midlands
| Professional | $207.00 | $281.77 | $472.67 | |
United
| Professional | $213.54 | $352.29 | $429.35 |