| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.62 | $5.62 | $5.62 | |
Aetna
| Professional | $4.66 | $5.62 | $5.62 | |
Cigna
| Professional | $4.88 | $4.88 | $6.09 | |
Medica
| Facility | $6.44 | $7.57 | $13.86 | |
Medica
| Professional | $5.62 | $5.62 | $6.18 | |
Midlands
| Professional | $5.94 | $5.94 | $5.94 | |
United
| Professional | $5.62 | $5.62 | $6.18 |