| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.38 | $280.38 | $280.38 | |
Aetna
| Professional | $280.38 | $280.38 | $364.08 | |
BCBS
| Professional | $386.42 | $425.06 | $429.36 | |
Cigna
| Facility | $295.70 | $483.63 | $483.63 | |
Cigna
| Professional | $295.70 | $483.63 | $745.78 | |
Medica
| Facility | $229.02 | $481.25 | $2,182.33 | |
Medica
| Professional | $161.79 | $219.35 | $365.58 | |
Midlands
| Facility | $482.22 | $483.63 | $639.42 | |
Midlands
| Professional | $437.90 | $578.57 | $996.38 | |
United
| Facility | $158.55 | $208.12 | $323.58 | |
United
| Professional | $159.02 | $219.35 | $316.31 |