| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.18 | $88.18 | $88.18 | |
Aetna
| Professional | $62.47 | $81.34 | $88.18 | |
Cigna
| Professional | $68.25 | $68.93 | $85.31 | |
Medica
| Facility | $77.64 | $89.74 | $117.00 | |
Medica
| Professional | $51.14 | $87.61 | $267.89 | |
Midlands
| Facility | $73.78 | $195.60 | $300.41 | |
Midlands
| Professional | $87.61 | $88.76 | $300.41 | |
United
| Professional | $55.79 | $92.98 | $267.89 |