| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.32 | $249.32 | $249.32 | |
Aetna
| Professional | $216.09 | $249.32 | $249.32 | |
Cigna
| Professional | $289.45 | $289.45 | $290.51 | |
Medica
| Facility | $310.41 | $365.19 | $421.35 | |
Medica
| Professional | $227.09 | $360.53 | $1,742.48 | |
Midlands
| Facility | $282.41 | $318.32 | $524.78 | |
Midlands
| Professional | $289.45 | $318.32 | $491.78 | |
United
| Professional | $227.09 | $399.19 | $442.06 |