| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.57 | $11.57 | $11.57 | |
Aetna
| Professional | $8.14 | $11.57 | $13.58 | |
BCBS
| Professional | $12.26 | $12.91 | $12.91 | |
Cigna
| Professional | $17.43 | $24.46 | $35.97 | |
Medica
| Facility | $11.57 | $20.25 | $59.43 | |
Medica
| Professional | $5.32 | $8.47 | $111.30 | |
Midlands
| Facility | $17.43 | $20.87 | $35.97 | |
Midlands
| Professional | $17.51 | $24.46 | $35.97 | |
United
| Professional | $5.32 | $8.47 | $13.96 |