| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.13 | $37.13 | $37.13 | |
Aetna
| Professional | $37.13 | $37.13 | $48.22 | |
BCBS
| Professional | $51.17 | $56.28 | $56.85 | |
Cigna
| Facility | $30.91 | $64.04 | $64.04 | |
Cigna
| Professional | $30.91 | $64.04 | $98.76 | |
Medica
| Facility | $33.04 | $63.73 | $263.25 | |
Medica
| Professional | $19.36 | $29.05 | $48.41 | |
Midlands
| Facility | $63.86 | $64.04 | $80.69 | |
Midlands
| Professional | $52.46 | $75.12 | $131.94 | |
United
| Professional | $20.68 | $29.05 | $37.17 |