| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.58 | $14.58 | $350.81 | |
Aetna
| Professional | $3.74 | $14.58 | $14.68 | |
Cigna
| Professional | $31.13 | $31.13 | $38.90 | |
Medica
| Facility | $5.72 | $24.81 | $40.22 | |
Medica
| Professional | $20.38 | $20.38 | $22.42 | |
Midlands
| Facility | $26.23 | $34.29 | $48.39 | |
Midlands
| Professional | $30.57 | $34.75 | $57.37 | |
United
| Professional | $20.38 | $20.38 | $22.42 |