| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.14 | $491.14 | $491.14 | |
Aetna
| Professional | $491.14 | $491.14 | $637.75 | |
BCBS
| Professional | $676.89 | $744.59 | $752.11 | |
Cigna
| Facility | $512.80 | $847.18 | $847.18 | |
Cigna
| Professional | $512.80 | $847.18 | $1,306.38 | |
Medica
| Facility | $397.17 | $843.01 | $3,769.74 | |
Medica
| Professional | $276.08 | $384.23 | $640.38 | |
Midlands
| Facility | $844.70 | $847.18 | $1,091.15 | |
Midlands
| Professional | $704.42 | $1,001.21 | $1,745.34 | |
United
| Professional | $278.56 | $384.23 | $539.24 |