| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.24 | $219.24 | $219.24 | |
Aetna
| Professional | $219.24 | $219.24 | $284.68 | |
BCBS
| Professional | $302.16 | $332.37 | $335.73 | |
Cigna
| Facility | $192.91 | $378.17 | $378.17 | |
Cigna
| Professional | $192.91 | $378.17 | $583.13 | |
Medica
| Facility | $173.10 | $372.71 | $1,609.26 | |
Medica
| Professional | $118.67 | $171.51 | $285.85 | |
Midlands
| Facility | $377.06 | $378.17 | $476.46 | |
Midlands
| Professional | $338.00 | $446.93 | $779.08 | |
United
| Professional | $124.34 | $171.51 | $232.81 |