| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $69.18 | $83.18 | |
BCBS
| Professional | $70.79 | $74.13 | $74.13 | |
Cigna
| Professional | $87.10 | $107.15 | $186.21 | |
Medica
| Professional | $97.72 | $144.54 | $512.86 | |
Midlands
| Professional | $97.72 | $138.04 | $199.53 | |
Midlands
| Professional | $97.72 | $177.83 | $177.83 | |
United
| Professional | $97.72 | $154.88 | $213.80 |