| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.29 | $50.29 | $50.29 | |
Cigna
| Professional | $67.00 | $73.68 | $81.48 | |
Hally Health
| Professional | $53.12 | $79.68 | $150.00 | |
Medica
| Facility | $54.04 | $78.62 | $122.66 | |
Medica
| Professional | $58.01 | $102.96 | $385.02 | |
Midlands
| Facility | $67.00 | $81.48 | $106.93 | |
Midlands
| Professional | $67.00 | $81.48 | $106.93 | |
United
| Professional | $55.59 | $104.90 | $216.33 |