| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $207.41 | $311.89 | |
Aetna
| Professional | $143.04 | $143.04 | $5,580.00 | |
BCBS
| Facility | $47.46 | $49.46 | $49.96 | |
Cigna
| Professional | $151.97 | $156.44 | $195.56 | |
Medica
| Facility | $119.30 | $271.77 | $670.50 | |
Midlands
| Facility | $119.40 | $119.40 | $119.40 | |
Midlands
| Professional | $119.40 | $119.40 | $119.40 |