| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.83 | $72.83 | $110.84 | |
Aetna
| Professional | $63.07 | $72.83 | $87.55 | |
BCBS
| Professional | $72.84 | $76.70 | $105.98 | |
Cigna
| Professional | $105.58 | $127.50 | $254.95 | |
Medica
| Facility | $69.76 | $91.04 | $138.38 | |
Medica
| Professional | $90.68 | $147.36 | $483.84 | |
Midlands
| Facility | $105.58 | $138.80 | $192.69 | |
Midlands
| Professional | $105.58 | $138.80 | $224.04 | |
United
| Professional | $92.20 | $151.13 | $203.31 |