| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.98 | $49.98 | $49.98 | |
Aetna
| Professional | $46.36 | $51.36 | $51.36 | |
Cigna
| Professional | $60.38 | $62.54 | $75.47 | |
Medica
| Facility | $51.36 | $73.78 | $140.72 | |
Medica
| Professional | $41.98 | $76.55 | $391.12 | |
Midlands
| Facility | $60.65 | $68.77 | $81.48 | |
Midlands
| Professional | $62.54 | $62.54 | $108.37 | |
United
| Professional | $42.07 | $76.55 | $105.18 |