| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.56 | $158.56 | $158.56 | |
Aetna
| Professional | $158.56 | $158.56 | $205.89 | |
BCBS
| Professional | $185.81 | $204.40 | $206.46 | |
Cigna
| Facility | $211.82 | $308.39 | $308.39 | |
Cigna
| Professional | $211.82 | $307.97 | $583.13 | |
Medica
| Facility | $142.69 | $272.14 | $943.35 | |
Medica
| Professional | $108.73 | $171.51 | $269.07 | |
Midlands
| Facility | $308.39 | $309.87 | $476.46 | |
Midlands
| Professional | $309.87 | $407.25 | $648.61 | |
United
| Professional | $108.73 | $171.51 | $285.85 |