| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.66 | $111.66 | $156.63 | |
Aetna
| Professional | $97.20 | $112.92 | $126.37 | |
BCBS
| Professional | $111.92 | $117.81 | $149.86 | |
Cigna
| Professional | $172.50 | $198.84 | $360.58 | |
Medica
| Facility | $111.66 | $139.58 | $212.15 | |
Medica
| Professional | $147.63 | $239.91 | $750.24 | |
Midlands
| Facility | $162.01 | $203.81 | $313.20 | |
Midlands
| Professional | $162.01 | $206.50 | $343.35 | |
United
| Professional | $150.10 | $246.63 | $311.68 |