| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.79 | $210.79 | $210.79 | |
Aetna
| Professional | $210.79 | $210.79 | $273.70 | |
BCBS
| Professional | $251.99 | $277.19 | $279.99 | |
Cigna
| Facility | $312.30 | $403.60 | $403.60 | |
Cigna
| Professional | $312.30 | $403.60 | $745.78 | |
Medica
| Facility | $189.71 | $361.80 | $1,271.08 | |
Medica
| Professional | $146.22 | $219.35 | $344.12 | |
Midlands
| Facility | $403.60 | $405.65 | $609.38 | |
Midlands
| Professional | $405.65 | $520.84 | $850.73 | |
United
| Professional | $146.22 | $219.35 | $329.43 |