| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $223.87 | |
BCBS
| Professional | $186.21 | $194.98 | $194.98 | |
Cigna
| Professional | $229.09 | $281.84 | $489.78 | |
Medica
| Professional | $257.04 | $380.19 | $1,348.96 | |
Midlands
| Professional | $263.03 | $354.81 | $512.86 | |
Midlands
| Professional | $263.03 | $467.74 | $467.74 | |
United
| Professional | $257.04 | $407.38 | $562.34 |