| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $2.86 | $4.04 | $4.04 | |
Cigna
| Professional | $2.98 | $10.13 | $12.66 | |
Medica
| Facility | $4.04 | $6.67 | $7.68 | |
Medica
| Professional | $4.32 | $11.23 | $11.23 | |
Midlands
| Facility | $4.32 | $4.32 | $12.63 | |
Midlands
| Professional | $4.32 | $11.47 | $12.29 |