| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,097.84 | $1,097.84 | $1,097.84 | |
Aetna
| Professional | $605.71 | $1,097.84 | $1,224.04 | |
Cigna
| Professional | $343.63 | $4,321.62 | $5,177.79 | |
Medica
| Facility | $95.58 | $308.13 | $1,921.24 | |
Medica
| Professional | $50.48 | $79.23 | $315.35 | |
Midlands
| Facility | $189.53 | $190.65 | $343.63 | |
Midlands
| Professional | $189.53 | $228.10 | $432.54 | |
United
| Professional | $50.48 | $62.77 | $232.87 |