| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $112.20 | $371.54 | |
Cigna
| Professional | $131.83 | $141.25 | $165.96 | |
Hally Health
| Professional | $51.29 | $81.28 | $302.00 | |
Medica
| Professional | $83.18 | $117.49 | $173.78 | |
Midlands
| Professional | $151.36 | $151.36 | $158.49 | |
United
| Professional | $75.86 | $104.71 | $177.83 |