| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
Cigna
| Professional | $4.38 | $9.38 | $11.72 | |
Medica
| Facility | $14.82 | $15.26 | $856.80 | |
Medica
| Professional | $3.41 | $5.16 | $8.85 | |
Midlands
| Facility | $93.00 | $93.00 | $93.00 | |
Midlands
| Professional | $84.44 | $84.44 | $90.50 | |
United
| Professional | $3.41 | $5.12 | $8.85 |