| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.70 | $37.67 | $57.00 | |
Aetna
| Professional | 25 | $37.67 | $37.67 | $37.67 |
Cigna
| Professional | $42.07 | $42.86 | $52.59 | |
Medica
| Professional | $13.45 | $14.21 | $50.15 | |
Midlands
| Professional | $23.05 | $34.83 | $48.49 | |
United
| Professional | $13.45 | $18.85 | $33.06 |