| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $93.33 | $269.15 | |
Cigna
| Professional | $77.62 | $81.28 | $97.72 | |
Hally Health
| Professional | $30.20 | $47.86 | $323.59 | |
Medica
| Professional | $54.95 | $81.28 | $109.65 | |
Midlands
| Professional | $89.13 | $89.13 | $93.33 | |
United
| Professional | $41.69 | $70.79 | $100.00 |