| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.78 | $102.79 | $118.21 | |
Aetna
| Professional | $42.78 | $42.78 | $71.79 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Medica
| Facility | $81.28 | $236.20 | $236.20 | |
Midlands
| Facility | $77.95 | $85.03 | $99.20 |