| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.55 | $157.55 | $157.55 | |
Aetna
| Professional | $120.73 | $157.55 | $157.55 | |
BCBS
| Professional | $217.13 | $238.84 | $241.25 | |
Cigna
| Facility | $125.61 | $271.76 | $271.76 | |
Cigna
| Professional | $264.36 | $271.76 | $419.06 | |
Medica
| Facility | $123.78 | $270.42 | $1,045.23 | |
Medica
| Professional | $82.17 | $123.25 | $193.36 | |
Midlands
| Facility | $270.97 | $271.76 | $342.41 | |
Midlands
| Professional | $222.58 | $317.45 | $559.87 | |
United
| Professional | $83.09 | $117.09 | $154.54 |