| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.10 | $296.10 | $353.50 | |
Aetna
| Professional | $217.15 | $296.10 | $455.90 | |
Cigna
| Facility | $43.07 | $43.07 | $43.07 | |
Cigna
| Professional | $39.33 | $558.75 | $698.44 | |
Hally Health
| Professional | $47.00 | $47.00 | $150.00 | |
Medica
| Facility | $49.30 | $80.00 | $646.91 | |
Medica
| Professional | $24.24 | $30.98 | $70.27 | |
Midlands
| Facility | $56.79 | $58.12 | $134.24 | |
Midlands
| Professional | $56.79 | $70.27 | $134.24 | |
United
| Professional | $23.23 | $24.24 | $48.94 |