| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $53.70 | $53.70 | |
Aetna
| Professional | $33.11 | $50.12 | $56.23 | |
Cigna
| Professional | $67.61 | $67.61 | $67.61 | |
Medica
| Facility | $72.44 | $83.18 | $154.88 | |
Medica
| Professional | $57.54 | $69.18 | $147.91 | |
Midlands
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Professional | $56.23 | $93.33 | $120.23 |