| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.69 | $46.69 | $46.69 | |
Aetna
| Professional | $45.94 | $46.69 | $52.21 | |
BCBS
| Professional | $46.45 | $48.89 | $49.17 | |
Cigna
| Professional | $58.43 | $85.47 | $134.63 | |
Medica
| Facility | $46.69 | $75.92 | $93.38 | |
Medica
| Professional | $64.11 | $102.47 | $333.27 | |
Midlands
| Facility | $64.92 | $87.61 | $134.63 | |
Midlands
| Professional | $65.98 | $87.61 | $134.63 | |
Oscar Health
| Professional | $65.09 | $65.09 | $128.69 | |
United
| Professional | $64.11 | $96.68 | $128.91 |