| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.97 | $93.28 | $408.75 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $61.75 | $64.34 | $65.00 | |
Cigna
| Professional | $61.13 | $72.00 | $109.28 | |
Medica
| Professional | $24.79 | $32.14 | $100.41 | |
Midlands
| Professional | $85.98 | $143.96 | $215.88 | |
United
| Professional | $24.79 | $32.14 | $74.56 |