| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $91.20 | $281.84 | |
Cigna
| Professional | $69.18 | $77.62 | $85.11 | |
Hally Health
| Professional | $26.92 | $41.69 | $331.13 | |
Medica
| Professional | $47.86 | $77.62 | $109.65 | |
Midlands
| Professional | $77.62 | $77.62 | $87.10 | |
United
| Professional | $36.31 | $72.44 | $102.33 |