| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.35 | $99.35 | $99.35 | |
Aetna
| Professional | $90.65 | $99.35 | $99.35 | |
BCBS
| Professional | $136.94 | $150.63 | $152.15 | |
Cigna
| Facility | $117.36 | $126.78 | $171.38 | |
Cigna
| Professional | $117.36 | $171.38 | $274.22 | |
Medica
| Facility | $94.85 | $170.88 | $791.34 | |
Medica
| Professional | $58.02 | $77.72 | $129.54 | |
Midlands
| Facility | $170.88 | $171.38 | $229.31 | |
Midlands
| Professional | $142.49 | $203.95 | $353.05 | |
United
| Professional | $58.02 | $77.72 | $113.32 |