| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.66 | $2.06 | $5.84 | |
Aetna
| Professional | $1.66 | $1.72 | $2.06 | |
Cigna
| Professional | $0.75 | $0.76 | $0.94 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $1.00 | $2.81 | $73.66 | |
Medica
| Professional | $1.67 | $4.17 | $5.42 | |
Midlands
| Facility | $0.90 | $1.00 | $6.66 | |
Midlands
| Professional | $6.66 | $6.66 | $6.66 | |
United
| Professional | $1.67 | $4.17 | $5.30 |