| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.22 | $46.19 | $53.12 | |
Aetna
| Professional | $19.22 | $19.22 | $19.22 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 | |
Medica
| Facility | $19.80 | $19.80 | $93.55 | |
Midlands
| Facility | $28.23 | $33.88 | $45.36 |