| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.60 | $59.60 | $59.60 | |
Aetna
| Professional | $50.39 | $59.60 | $59.60 | |
BCBS
| Professional | $82.14 | $90.35 | $91.26 | |
Cigna
| Facility | $58.60 | $102.81 | $102.81 | |
Cigna
| Professional | $58.60 | $102.81 | $158.53 | |
Medica
| Facility | $47.05 | $101.32 | $437.39 | |
Medica
| Professional | $32.26 | $46.63 | $77.70 | |
Midlands
| Facility | $102.51 | $102.81 | $129.55 | |
Midlands
| Professional | $85.48 | $121.50 | $211.81 | |
United
| Professional | $32.26 | $46.63 | $70.25 |