| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.55 | $89.55 | $89.55 | |
Aetna
| Professional | $89.55 | $89.55 | $116.28 | |
BCBS
| Professional | $104.94 | $115.43 | $116.59 | |
Cigna
| Facility | $128.79 | $174.15 | $174.15 | |
Cigna
| Professional | $128.79 | $173.91 | $329.32 | |
Medica
| Facility | $80.59 | $153.69 | $532.72 | |
Medica
| Professional | $61.41 | $96.86 | $151.94 | |
Midlands
| Facility | $174.15 | $175.00 | $269.08 | |
Midlands
| Professional | $175.00 | $229.99 | $366.29 | |
United
| Professional | $61.41 | $96.86 | $136.46 |