| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.57 | $7.26 | $7.26 | |
Cigna
| Professional | $103.29 | $201.47 | $255.12 | |
Medica
| Facility | $7.26 | $12.27 | $47.19 | |
Medica
| Professional | $12.02 | $12.02 | $12.02 | |
Midlands
| Professional | $12.02 | $12.02 | $12.02 |