| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.60 | $31.16 | $33.39 | |
Cigna
| Professional | $20.25 | $25.31 | $29.53 | |
Medica
| Facility | $19.79 | $32.46 | $62.16 | |
Medica
| Professional | $43.63 | $112.33 | $199.18 | |
Midlands
| Facility | $38.36 | $41.55 | $61.94 | |
Midlands
| Professional | $41.55 | $41.55 | $45.68 | |
United
| Professional | $32.72 | $69.05 | $69.05 |