| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.96 | $62.44 | $62.44 | |
Aetna
| Professional | $30.89 | $62.44 | $219.00 | |
BCBS
| Professional | $86.06 | $94.65 | $95.62 | |
Cigna
| Facility | $59.92 | $107.70 | $107.70 | |
Cigna
| Professional | $104.78 | $122.63 | $166.10 | |
Medica
| Facility | $53.07 | $107.18 | $474.60 | |
Medica
| Professional | $32.43 | $48.85 | $81.42 | |
Midlands
| Facility | $107.40 | $107.70 | $145.69 | |
Midlands
| Professional | $94.00 | $127.28 | $221.90 | |
United
| Professional | $32.57 | $48.85 | $72.00 |