| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $14.13 | $14.13 | $19.95 | |
Cigna
| Professional | $9.33 | $9.33 | $11.75 | |
Hally Health
| Professional | $6.46 | $7.76 | $13.18 | |
Medica
| Facility | $14.79 | $25.12 | $851.14 | |
Medica
| Professional | $5.01 | $6.46 | $10.96 | |
Midlands
| Professional | $85.11 | $85.11 | $85.11 | |
United
| Facility | $4.37 | $6.17 | $8.91 | |
United
| Professional | $5.13 | $5.62 | $10.47 |