| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.78 | $27.78 | $27.78 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Hally Health
| Professional | $61.90 | $61.90 | $150.00 | |
Medica
| Facility | $7.61 | $68.94 | $98.87 | |
Midlands
| Facility | $55.56 | $68.94 | $89.27 |