| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.74 | $191.74 | $191.74 | |
Aetna
| Professional | $191.74 | $191.74 | $248.98 | |
BCBS
| Professional | $224.69 | $247.15 | $249.65 | |
Cigna
| Facility | $278.10 | $372.96 | $372.96 | |
Cigna
| Professional | $278.10 | $372.66 | $705.31 | |
Medica
| Facility | $172.57 | $329.11 | $1,140.66 | |
Medica
| Professional | $131.47 | $207.44 | $325.45 | |
Midlands
| Facility | $372.96 | $374.74 | $576.29 | |
Midlands
| Professional | $374.74 | $492.57 | $784.41 | |
United
| Professional | $131.47 | $207.44 | $292.17 |