| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.00 | $324.00 | $324.00 | |
Aetna
| Professional | $315.02 | $315.02 | $324.00 | |
Cigna
| Professional | $432.41 | $432.41 | $432.41 | |
Medica
| Facility | $345.33 | $532.38 | $630.04 | |
Medica
| Professional | $405.99 | $631.11 | $2,070.79 | |
Midlands
| Facility | $372.07 | $528.40 | $601.13 | |
Midlands
| Professional | $432.41 | $475.52 | $601.13 | |
United
| Professional | $386.66 | $614.04 | $679.18 |