| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $42.16 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
Cigna
| Professional | $0.38 | $0.47 | $17.20 | |
Medica
| Facility | $32.00 | $52.80 | $60.80 | |
Medica
| Professional | $0.85 | $67.48 | $67.48 | |
Midlands
| Facility | $0.85 | $0.85 | $0.92 | |
Midlands
| Professional | $0.84 | $0.85 | $0.90 |