| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.24 | $3.24 | $3.24 | |
Aetna
| Professional | $2.69 | $3.24 | $3.24 | |
Cigna
| Professional | $3.00 | $3.00 | $3.75 | |
Medica
| Facility | $3.70 | $4.36 | $8.00 | |
Midlands
| Professional | $47.98 | $47.98 | $47.98 |