| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Professional | $1.12 | $1.13 | $1.41 | |
Medica
| Facility | $2.15 | $2.15 | $2.15 | |
Medica
| Professional | $0.54 | $0.64 | $0.72 | |
Midlands
| Professional | $5.01 | $5.01 | $5.01 | |
United
| Professional | $0.57 | $0.68 | $0.76 |