| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.47 | $66.47 | $102.38 | |
Aetna
| Professional | $57.69 | $67.17 | $80.90 | |
BCBS
| Professional | $66.15 | $70.00 | $97.42 | |
Cigna
| Professional | $96.70 | $117.00 | $234.83 | |
Medica
| Facility | $65.84 | $83.09 | $126.29 | |
Medica
| Professional | $86.28 | $140.21 | $443.34 | |
Midlands
| Facility | $96.70 | $128.55 | $183.99 | |
Midlands
| Professional | $96.70 | $128.55 | $204.00 | |
United
| Professional | $87.72 | $144.83 | $185.54 |