| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.66 | $19.98 | $78.50 | |
Aetna
| Professional | $14.98 | $18.66 | $18.66 | |
BCBS
| Facility | $82.87 | $108.12 | $210.83 | |
BCBS
| Professional | $26.85 | $27.98 | $28.27 | |
Cigna
| Professional | $29.25 | $33.92 | $36.56 | |
Medica
| Facility | $16.96 | $35.45 | $134.28 | |
Medica
| Professional | $16.96 | $16.96 | $56.54 | |
Midlands
| Facility | $33.96 | $40.11 | $52.38 | |
Midlands
| Professional | $33.96 | $47.44 | $73.78 | |
United
| Professional | $16.11 | $16.96 | $56.54 |