| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.48 | $73.48 | $73.48 | |
Aetna
| Professional | $62.14 | $73.48 | $73.48 | |
BCBS
| Professional | $101.27 | $111.39 | $112.52 | |
Cigna
| Facility | $64.66 | $126.74 | $126.74 | |
Cigna
| Professional | $64.66 | $126.74 | $195.43 | |
Medica
| Facility | $58.02 | $126.12 | $539.41 | |
Medica
| Professional | $39.78 | $57.48 | $95.80 | |
Midlands
| Facility | $126.37 | $126.74 | $159.69 | |
Midlands
| Professional | $105.38 | $149.79 | $261.11 | |
United
| Professional | $41.67 | $57.48 | $77.88 |