| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.29 | $55.70 | $59.96 | |
Cigna
| Professional | $79.88 | $84.67 | $99.84 | |
Hally Health
| Professional | $64.87 | $82.94 | $107.19 | |
Medica
| Facility | $54.04 | $72.84 | $113.55 | |
Medica
| Professional | $63.98 | $100.71 | $359.53 | |
Midlands
| Facility | $72.58 | $98.46 | $138.38 | |
Midlands
| Professional | $72.58 | $98.46 | $323.62 | |
United
| Professional | $62.20 | $88.86 | $167.77 |