| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.58 | $92.58 | $92.58 | |
Aetna
| Professional | $92.58 | $92.58 | $120.22 | |
BCBS
| Professional | $127.59 | $140.34 | $141.77 | |
Cigna
| Facility | $100.43 | $159.69 | $159.69 | |
Cigna
| Professional | $100.43 | $159.69 | $246.25 | |
Medica
| Facility | $77.78 | $158.91 | $757.74 | |
Medica
| Professional | $55.27 | $72.43 | $120.71 | |
Midlands
| Facility | $159.22 | $159.69 | $220.53 | |
Midlands
| Professional | $132.78 | $188.72 | $328.98 | |
United
| Professional | $52.51 | $72.43 | $108.99 |