| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.90 | $64.90 | $64.90 | |
Aetna
| Professional | $50.65 | $55.20 | $64.90 | |
Cigna
| Professional | $54.75 | $55.30 | $68.44 | |
Medica
| Facility | $55.13 | $85.60 | $316.83 | |
Medica
| Professional | $12.58 | $14.46 | $114.18 | |
Midlands
| Facility | $69.48 | $74.52 | $97.45 | |
Midlands
| Professional | $65.59 | $97.45 | $149.72 | |
United
| Professional | $16.22 | $16.22 | $21.12 |