| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.16 | $137.16 | $137.16 | |
Aetna
| Professional | $50.80 | $122.50 | $162.91 | |
BCBS
| Facility | $204.59 | $240.69 | $286.95 | |
BCBS
| Professional | $62.50 | $128.12 | $134.86 | |
Cigna
| Professional | $96.41 | $185.80 | $334.63 | |
Medica
| Facility | $65.09 | $139.90 | $253.75 | |
Medica
| Professional | $211.14 | $281.22 | $935.43 | |
Midlands
| Facility | $98.82 | $209.12 | $334.67 | |
Midlands
| Professional | $98.82 | $209.12 | $345.24 | |
United
| Professional | $211.14 | $279.81 | $359.91 |