| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $109.65 | $128.82 | |
BCBS
| Professional | $109.65 | $114.82 | $114.82 | |
Cigna
| Professional | $134.90 | $169.82 | $288.40 | |
Medica
| Professional | $147.91 | $223.87 | $794.33 | |
Midlands
| Professional | $154.88 | $213.80 | $309.03 | |
Midlands
| Professional | $154.88 | $275.42 | $275.42 | |
United
| Professional | $151.36 | $239.88 | $323.59 |