| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $567.64 | $567.64 | $567.64 | |
Aetna
| Professional | $567.64 | $567.64 | $737.09 | |
BCBS
| Professional | $665.22 | $731.74 | $739.13 | |
Cigna
| Facility | $758.68 | $1,104.04 | $1,104.04 | |
Cigna
| Professional | $758.68 | $1,103.44 | $2,087.76 | |
Medica
| Facility | $510.88 | $974.31 | $3,377.04 | |
Medica
| Professional | $389.26 | $614.04 | $963.33 | |
Midlands
| Facility | $1,104.04 | $1,109.33 | $1,705.86 | |
Midlands
| Professional | $1,109.33 | $1,458.06 | $2,322.06 | |
United
| Professional | $338.89 | $614.04 | $865.02 |