| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.02 | $46.09 | $47.01 | |
Cigna
| Professional | $60.38 | $67.02 | $76.68 | |
Hally Health
| Professional | $54.35 | $69.08 | $81.27 | |
Medica
| Facility | $42.03 | $60.65 | $89.64 | |
Medica
| Professional | $43.67 | $70.23 | $391.12 | |
Midlands
| Facility | $60.65 | $68.77 | $97.99 | |
Midlands
| Professional | $60.65 | $79.65 | $108.88 | |
United
| Professional | $41.24 | $61.84 | $113.40 |