| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $63.10 | $144.54 | |
Cigna
| Professional | $128.82 | $128.82 | $158.49 | |
Hally Health
| Professional | $48.98 | $75.86 | $263.03 | |
Medica
| Professional | $79.43 | $120.23 | $165.96 | |
Midlands
| Professional | $141.25 | $144.54 | $144.54 | |
United
| Professional | $67.61 | $95.50 | $158.49 |