| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $218.78 | |
Aetna
| Professional | $186.21 | $218.78 | $1,479.11 | |
BCBS
| Professional | $302.00 | $331.13 | $338.84 | |
Cigna
| Facility | $194.98 | $194.98 | $389.05 | |
Cigna
| Professional | $194.98 | $398.11 | $588.84 | |
Medica
| Facility | $218.78 | $380.19 | $1,621.81 | |
Medica
| Professional | $114.82 | $169.82 | $346.74 | |
Midlands
| Professional | $380.19 | $380.19 | $851.14 | |
Midlands
| Facility | $389.05 | $389.05 | $389.05 | |
Midlands
| Professional | $478.63 | $851.14 | $851.14 | |
United
| Facility | $117.49 | $177.83 | $354.81 | |
United
| Professional | $114.82 | $169.82 | $257.04 |