| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.30 | $268.30 | $268.30 | |
Aetna
| Professional | $268.30 | $268.30 | $348.39 | |
BCBS
| Professional | $321.07 | $353.19 | $356.75 | |
Cigna
| Facility | $382.03 | $513.27 | $513.27 | |
Cigna
| Professional | $382.03 | $513.27 | $947.21 | |
Medica
| Facility | $240.52 | $460.52 | $1,660.98 | |
Medica
| Professional | $181.88 | $278.58 | $437.06 | |
Midlands
| Facility | $513.27 | $515.88 | $773.96 | |
Midlands
| Professional | $515.88 | $627.66 | $1,082.03 | |
United
| Professional | $181.88 | $278.58 | $404.17 |