| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.82 | $36.82 | $37.04 | |
Cigna
| Professional | $48.33 | $53.48 | $65.08 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $48.33 | $65.08 | $113.55 | |
Medica
| Professional | $47.40 | $84.01 | $305.44 | |
Midlands
| Facility | $48.33 | $65.08 | $215.43 | |
Midlands
| Professional | $48.33 | $65.08 | $215.43 | |
United
| Professional | $45.43 | $84.01 | $112.18 |