| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.60 | $8.60 | $8.60 | |
Aetna
| Professional | $8.60 | $8.65 | $8.65 | |
Medica
| Facility | $8.91 | $13.74 | $17.30 | |
Medica
| Professional | $10.66 | $16.71 | $54.23 | |
Midlands
| Facility | $9.98 | $11.14 | $16.36 | |
Midlands
| Professional | $11.14 | $11.14 | $16.36 | |
United
| Professional | $8.41 | $13.47 | $18.05 |