| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.82 | $477.82 | $477.82 | |
Aetna
| Professional | $477.82 | $477.82 | $563.40 | |
Ambetter
| Professional | $561.95 | $561.95 | $561.95 | |
BCBS
| Professional | $658.52 | $724.38 | $731.70 | |
Cigna
| Facility | $440.05 | $824.19 | $824.19 | |
Cigna
| Professional | $440.05 | $824.19 | $1,270.90 | |
Medica
| Facility | $396.13 | $812.29 | $3,490.95 | |
Medica
| Professional | $285.26 | $477.14 | $772.15 | |
Midlands
| Facility | $821.78 | $824.19 | $1,038.43 | |
Midlands
| Professional | $685.29 | $974.04 | $1,697.93 | |
United
| Professional | $285.26 | $373.79 | $513.79 |