| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.59 | $6.23 | $7.16 | |
Aetna
| Professional | $2.59 | $2.59 | $4.34 | |
Cigna
| Professional | $3.00 | $3.00 | $3.75 | |
Medica
| Facility | $4.92 | $4.92 | $4.92 | |
Midlands
| Facility | $47.98 | $47.98 | $47.98 | |
Midlands
| Professional | $47.98 | $47.98 | $47.98 |