| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.12 | $356.12 | $356.12 | |
Aetna
| Professional | $356.12 | $356.12 | $462.42 | |
BCBS
| Professional | $490.81 | $539.88 | $545.34 | |
Cigna
| Facility | $347.46 | $614.27 | $614.27 | |
Cigna
| Professional | $347.46 | $614.27 | $947.21 | |
Medica
| Facility | $287.02 | $611.25 | $2,780.76 | |
Medica
| Professional | $198.50 | $278.58 | $464.32 | |
Midlands
| Facility | $612.47 | $614.27 | $784.51 | |
Midlands
| Professional | $556.17 | $725.96 | $1,265.50 | |
United
| Professional | $201.98 | $278.58 | $397.00 |