| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $140.00 | |
Aetna
| Professional | $140.00 | $140.00 | $140.00 | |
BCBS
| Professional | $308.69 | $339.56 | $343.00 | |
Cigna
| Facility | $223.29 | $223.29 | $223.29 | |
Cigna
| Professional | $163.00 | $163.00 | $163.00 | |
Medica
| Facility | $140.00 | $140.00 | $285.00 | |
Medica
| Professional | $119.46 | $179.18 | $298.64 | |
Midlands
| Facility | $280.68 | $280.68 | $280.68 | |
Midlands
| Professional | $244.64 | $244.64 | $280.68 | |
United
| Professional | $119.46 | $179.18 | $298.64 |