| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.39 | $60.39 | $60.39 | |
Aetna
| Professional | $56.03 | $61.47 | $61.47 | |
Cigna
| Professional | $79.88 | $84.67 | $99.84 | |
Medica
| Facility | $52.25 | $87.90 | $168.43 | |
Medica
| Professional | $58.99 | $106.67 | $359.53 | |
Midlands
| Facility | $72.58 | $76.23 | $98.46 | |
Midlands
| Professional | $72.58 | $98.46 | $323.62 | |
United
| Professional | $57.60 | $105.78 | $129.46 |