| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $81.28 | |
Aetna
| Professional | $53.70 | $81.28 | $147.91 | |
Cigna
| Professional | $67.61 | $85.11 | $85.11 | |
Hally Health
| Professional | $75.86 | $87.10 | $151.36 | |
Medica
| Facility | $77.62 | $346.74 | $794.33 | |
Medica
| Professional | $66.07 | $229.09 | $1,023.29 | |
Midlands
| Professional | $74.13 | $194.98 | $302.00 | |
United
| Facility | $446.68 | $776.25 | $1,000.00 | |
United
| Professional | $66.07 | $234.42 | $467.74 |