| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.89 | $681.89 | $681.89 | |
Aetna
| Professional | $681.89 | $681.89 | $885.43 | |
BCBS
| Professional | $939.77 | $1,033.76 | $1,044.20 | |
Cigna
| Facility | $695.41 | $1,176.19 | $1,176.19 | |
Cigna
| Professional | $695.41 | $1,176.19 | $1,813.70 | |
Medica
| Facility | $538.36 | $1,170.40 | $5,003.81 | |
Medica
| Professional | $368.98 | $533.44 | $889.07 | |
Midlands
| Facility | $1,172.74 | $1,176.19 | $1,481.95 | |
Midlands
| Professional | $977.98 | $1,390.04 | $2,423.14 | |
United
| Professional | $386.74 | $533.44 | $722.61 |