| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.19 | $305.19 | $305.19 | |
Aetna
| Professional | $298.48 | $305.19 | $305.19 | |
Cigna
| Professional | $427.49 | $427.49 | $427.49 | |
Medica
| Facility | $426.83 | $504.43 | $515.77 | |
Medica
| Professional | $380.39 | $646.24 | $2,326.96 | |
Midlands
| Facility | $358.94 | $470.11 | $544.36 | |
Midlands
| Professional | $427.49 | $470.11 | $576.26 | |
United
| Professional | $387.74 | $583.25 | $907.28 |