| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $61.66 | $61.66 | |
Aetna
| Professional | $47.86 | $57.54 | $91.20 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
Medica
| Facility | $57.54 | $81.28 | $104.71 | |
Medica
| Professional | $46.77 | $75.86 | $562.34 | |
Midlands
| Professional | $57.54 | $57.54 | $134.90 | |
United
| Professional | $47.86 | $74.13 | $104.71 |