| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.44 | $138.44 | $139.21 | |
Cigna
| Professional | $181.44 | $200.75 | $244.74 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $138.44 | $200.75 | $714.54 | |
Medica
| Professional | $177.97 | $315.45 | $1,149.84 | |
Midlands
| Facility | $181.44 | $244.74 | $809.16 | |
Midlands
| Professional | $181.44 | $244.74 | $809.16 | |
United
| Professional | $170.56 | $315.45 | $421.20 |