| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.99 | $768.99 | $768.99 | |
Aetna
| Professional | $768.99 | $768.99 | $998.54 | |
BCBS
| Professional | $1,059.82 | $1,165.80 | $1,177.58 | |
Cigna
| Facility | $711.81 | $1,326.44 | $1,326.44 | |
Cigna
| Professional | $711.81 | $1,326.44 | $2,045.39 | |
Medica
| Facility | $604.14 | $1,319.91 | $5,716.25 | |
Medica
| Professional | $414.51 | $601.58 | $1,002.64 | |
Midlands
| Facility | $1,322.57 | $1,326.44 | $1,671.26 | |
Midlands
| Professional | $1,102.90 | $1,567.61 | $2,732.68 | |
United
| Professional | $436.15 | $601.58 | $809.59 |