| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.49 | $309.49 | $309.49 | |
Aetna
| Professional | $309.49 | $309.49 | $401.87 | |
BCBS
| Professional | $426.54 | $469.19 | $473.93 | |
Cigna
| Facility | $297.02 | $533.83 | $533.83 | |
Cigna
| Professional | $297.02 | $533.83 | $823.18 | |
Medica
| Facility | $244.38 | $531.21 | $2,464.07 | |
Medica
| Professional | $175.10 | $242.11 | $485.30 | |
Midlands
| Facility | $532.27 | $533.83 | $692.01 | |
Midlands
| Professional | $483.35 | $630.89 | $1,099.78 | |
United
| Professional | $175.53 | $242.11 | $350.20 |