| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.38 | $46.38 | $46.38 | |
Aetna
| Professional | $46.38 | $46.38 | $60.23 | |
BCBS
| Professional | $54.35 | $59.79 | $60.39 | |
Cigna
| Facility | $57.67 | $90.22 | $90.22 | |
Cigna
| Professional | $72.00 | $90.22 | $170.61 | |
Medica
| Facility | $42.09 | $79.61 | $275.93 | |
Medica
| Professional | $30.51 | $50.18 | $78.72 | |
Midlands
| Facility | $90.22 | $90.65 | $138.24 | |
Midlands
| Professional | $90.61 | $112.20 | $189.75 | |
United
| Professional | $30.51 | $50.18 | $69.43 |