| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.46 | $98.98 | $98.98 | |
Aetna
| Professional | $30.46 | $30.46 | $35.61 | |
BCBS
| Professional | $35.68 | $39.25 | $39.65 | |
Cigna
| Facility | $38.15 | $59.25 | $59.25 | |
Cigna
| Professional | $41.92 | $58.08 | $112.02 | |
Medica
| Facility | $27.66 | $52.28 | $181.21 | |
Medica
| Professional | $20.05 | $32.95 | $51.68 | |
Midlands
| Facility | $59.25 | $59.53 | $90.77 | |
Midlands
| Professional | $59.48 | $73.67 | $124.60 | |
United
| Facility | $55.06 | $55.06 | $55.06 | |
United
| Professional | $20.05 | $32.95 | $44.57 |