| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.64 | $16.64 | $16.64 | |
Aetna
| Professional | $13.81 | $16.64 | $16.64 | |
Cigna
| Professional | $10.13 | $10.13 | $12.66 | |
Medica
| Facility | $19.03 | $22.40 | $41.05 | |
Midlands
| Professional | $8.63 | $8.63 | $8.63 |