| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.01 | $361.01 | $361.01 | |
Aetna
| Professional | $361.01 | $361.01 | $468.77 | |
BCBS
| Professional | $497.55 | $547.29 | $552.83 | |
Cigna
| Facility | $380.61 | $622.71 | $622.71 | |
Cigna
| Professional | $605.74 | $698.63 | $960.23 | |
Medica
| Facility | $301.88 | $619.64 | $2,801.35 | |
Medica
| Professional | $206.32 | $282.42 | $470.70 | |
Midlands
| Facility | $620.88 | $622.71 | $815.41 | |
Midlands
| Professional | $563.80 | $742.62 | $1,282.88 | |
United
| Professional | $204.75 | $282.42 | $403.37 |