| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.55 | $34.49 | $34.49 | |
Aetna
| Professional | $33.33 | $34.49 | $243.79 | |
Cigna
| Professional | $2.02 | $2.02 | $126.87 | |
Hally Health
| Professional | $349.12 | $367.87 | $408.37 | |
Medica
| Facility | $34.49 | $58.29 | $950.51 | |
Medica
| Professional | $122.28 | $122.28 | $126.87 | |
Midlands
| Facility | $139.69 | $139.69 | $139.69 | |
Midlands
| Professional | $126.87 | $126.87 | $135.94 |