| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.50 | $223.50 | $223.50 | |
Aetna
| Professional | $223.50 | $223.50 | $290.20 | |
BCBS
| Professional | $308.02 | $338.82 | $342.25 | |
Cigna
| Facility | $212.98 | $385.51 | $385.51 | |
Cigna
| Professional | $212.98 | $385.51 | $594.48 | |
Medica
| Facility | $176.46 | $383.62 | $1,640.11 | |
Medica
| Professional | $120.94 | $174.85 | $274.31 | |
Midlands
| Facility | $384.39 | $385.51 | $485.74 | |
Midlands
| Professional | $344.00 | $455.60 | $794.23 | |
United
| Professional | $126.76 | $174.85 | $274.31 |