| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $69.18 | $218.78 | |
Cigna
| Professional | $60.26 | $63.10 | $75.86 | |
Hally Health
| Professional | $23.99 | $37.15 | $218.78 | |
Medica
| Professional | $38.02 | $57.54 | $77.62 | |
Midlands
| Professional | $69.18 | $69.18 | $72.44 | |
United
| Professional | $33.11 | $46.77 | $77.62 |