| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $33.11 | $70.79 | |
Aetna
| Professional | 25 | $19.50 | $36.31 | $36.31 |
Cigna
| Professional | $42.66 | $42.66 | $53.70 | |
Hally Health
| Professional | $20.42 | $30.90 | $67.61 | |
Medica
| Professional | $13.49 | $27.54 | $46.77 | |
Midlands
| Professional | $23.99 | $23.99 | $34.67 | |
United
| Professional | $13.49 | $14.13 | $45.71 |