| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $1.76 | $1.76 | $1.76 | |
Medica
| Facility | $4.00 | $6.60 | $7.60 | |
Medica
| Professional | $1.20 | $9.26 | $9.26 | |
Midlands
| Facility | $1.15 | $1.20 | $1.20 | |
Midlands
| Professional | $1.05 | $1.12 | $1.20 | |
United
| Professional | $3.13 | $3.13 | $3.13 |