| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.90 | $408.90 | $408.90 | |
Aetna
| Professional | $283.97 | $408.90 | $455.90 | |
Cigna
| Professional | $113.06 | $592.28 | $709.61 | |
Medica
| Facility | $59.11 | $324.30 | $715.58 | |
Medica
| Professional | $18.80 | $25.82 | $94.18 | |
Midlands
| Facility | $56.79 | $58.12 | $113.06 | |
Midlands
| Professional | $56.79 | $70.27 | $131.02 | |
United
| Professional | $18.80 | $24.24 | $51.63 |