| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.83 | $70.83 | $70.83 | |
Aetna
| Professional | $51.75 | $70.83 | $91.98 | |
BCBS
| Professional | $97.62 | $107.39 | $108.47 | |
Cigna
| Facility | $53.85 | $122.18 | $122.18 | |
Cigna
| Professional | $116.25 | $122.18 | $188.41 | |
Medica
| Facility | $55.65 | $121.58 | $456.49 | |
Medica
| Professional | $36.44 | $55.42 | $86.94 | |
Midlands
| Facility | $121.82 | $122.18 | $153.94 | |
Midlands
| Professional | $98.92 | $142.72 | $249.86 | |
United
| Professional | $36.94 | $53.00 | $66.25 |