| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.50 | $29.50 | $3,073.00 | |
Aetna
| Professional | $29.50 | $29.50 | $323.98 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
Medica
| Facility | $29.50 | $148.97 | $821.00 | |
Midlands
| Facility | $492.44 | $574.51 | $791.18 | |
United
| Facility | $821.00 | $821.00 | $821.00 |