| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.93 | $33.93 | $33.93 | |
Aetna
| Professional | $32.88 | $32.88 | $33.93 | |
Cigna
| Professional | $239.89 | $239.89 | $239.89 | |
Medica
| Facility | $35.57 | $55.57 | $304.01 | |
Medica
| Professional | $210.47 | $355.83 | $1,157.43 | |
Midlands
| Facility | $38.47 | $113.23 | $293.33 | |
Midlands
| Professional | $69.29 | $239.89 | $263.79 | |
United
| Professional | $39.95 | $325.27 | $382.68 |