| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.81 | $7.81 | $7.81 | |
Aetna
| Professional | $6.25 | $6.64 | $7.81 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Medica
| Facility | $8.94 | $11.88 | $19.26 | |
Medica
| Professional | $0.02 | $0.02 | $3.67 | |
Midlands
| Professional | $5.01 | $5.01 | $6.66 | |
United
| Professional | $0.02 | $0.02 | $0.03 |