| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.10 | $29.10 | $29.28 | |
Cigna
| Professional | $15.75 | $19.69 | $102.87 | |
Hally Health
| Professional | $16.93 | $39.03 | $69.19 | |
Medica
| Facility | $28.62 | $39.92 | $102.87 | |
Medica
| Professional | $77.84 | $113.27 | $249.01 | |
Midlands
| Facility | $39.92 | $102.87 | $207.08 | |
Midlands
| Professional | $39.92 | $103.65 | $209.83 | |
United
| Professional | $72.34 | $113.27 | $205.94 |