| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Hally Health
| Professional | $111.84 | $111.84 | $150.00 | |
Medica
| Facility | $5.30 | $136.87 | $212.91 | |
Midlands
| Facility | $119.66 | $139.60 | $192.25 | |
United
| Facility | $102.79 | $168.18 | $204.86 |