| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.10 | $296.10 | $353.50 | |
Aetna
| Professional | $143.10 | $268.56 | $408.90 | |
Cigna
| Facility | $38.00 | $38.00 | $38.00 | |
Cigna
| Professional | $66.81 | $564.34 | $1,068.75 | |
Hally Health
| Professional | $44.75 | $52.65 | $60.13 | |
Medica
| Facility | $30.35 | $80.00 | $529.51 | |
Medica
| Professional | $17.66 | $24.24 | $70.27 | |
Midlands
| Facility | $56.79 | $58.12 | $134.24 | |
Midlands
| Professional | $56.79 | $70.27 | $134.24 | |
United
| Professional | $17.66 | $24.24 | $63.48 |