| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $74.13 | $316.23 | |
Cigna
| Professional | $43.65 | $43.65 | $54.95 | |
Hally Health
| Professional | $17.78 | $27.54 | $134.90 | |
Medica
| Professional | $24.55 | $37.15 | $54.95 | |
Midlands
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Professional | $23.44 | $32.36 | $54.95 |