| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $169.82 | $204.17 | |
BCBS
| Professional | $154.88 | $162.18 | $162.18 | |
Cigna
| Professional | $190.55 | $239.88 | $407.38 | |
Medica
| Professional | $208.93 | $309.03 | $1,096.48 | |
Midlands
| Professional | $218.78 | $281.84 | $436.52 | |
Midlands
| Professional | $218.78 | $389.05 | $389.05 | |
United
| Professional | $208.93 | $338.84 | $446.68 |