| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.94 | $40.94 | $40.94 | |
Aetna
| Professional | $39.79 | $39.79 | $40.94 | |
Cigna
| Professional | $58.65 | $69.98 | $85.09 | |
Medica
| Facility | $43.57 | $63.81 | $76.03 | |
Medica
| Professional | $45.47 | $70.41 | $280.19 | |
Midlands
| Facility | $46.97 | $77.95 | $94.36 | |
Midlands
| Professional | $71.73 | $75.93 | $93.57 | |
United
| Professional | $41.68 | $57.07 | $75.78 |