| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.67 | $15.67 | $15.67 | |
Aetna
| Professional | $15.23 | $15.23 | $15.67 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
Medica
| Facility | $16.78 | $25.74 | $30.46 | |
Medica
| Professional | $19.28 | $29.88 | $100.43 | |
Midlands
| Facility | $18.01 | $25.55 | $29.09 | |
Midlands
| Professional | $20.99 | $23.08 | $29.09 | |
United
| Professional | $17.68 | $24.14 | $32.14 |