| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $33.88 | $33.88 | |
Aetna
| Professional | $32.36 | $33.88 | $33.88 | |
Cigna
| Professional | $2.04 | $2.04 | $125.89 | |
Hally Health
| Professional | $346.74 | $371.54 | $407.38 | |
Medica
| Facility | $34.67 | $58.88 | $954.99 | |
Medica
| Professional | $123.03 | $123.03 | $125.89 | |
Midlands
| Professional | $125.89 | $125.89 | $125.89 |