| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.17 | $265.17 | $265.17 | |
Aetna
| Professional | $265.17 | $265.17 | $344.33 | |
BCBS
| Professional | $365.45 | $402.00 | $406.06 | |
Cigna
| Facility | $233.26 | $457.40 | $457.40 | |
Cigna
| Professional | $444.94 | $484.50 | $705.31 | |
Medica
| Facility | $209.36 | $455.15 | $1,945.90 | |
Medica
| Professional | $143.49 | $207.44 | $345.74 | |
Midlands
| Facility | $456.06 | $457.40 | $576.29 | |
Midlands
| Professional | $408.00 | $540.57 | $942.32 | |
United
| Professional | $143.49 | $207.44 | $281.01 |