| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.35 | $55.35 | $55.35 | |
Aetna
| Professional | $55.35 | $55.35 | $55.35 | |
BCBS
| Professional | $72.15 | $79.37 | $80.17 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $101.25 | $129.56 | $178.68 | |
Medica
| Facility | $50.87 | $96.86 | $472.60 | |
Medica
| Professional | $35.04 | $53.00 | $90.88 | |
Midlands
| Facility | $108.76 | $141.79 | $223.34 | |
Midlands
| Professional | $108.23 | $157.61 | $240.02 | |
United
| Professional | $35.04 | $52.55 | $87.59 |