| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $58.88 | $87.10 | |
Cigna
| Facility | $40.74 | $40.74 | $40.74 | |
Cigna
| Professional | $40.74 | $40.74 | $50.12 | |
Medica
| Facility | $48.98 | $48.98 | $48.98 | |
Medica
| Professional | $30.90 | $42.66 | $75.86 | |
Midlands
| Professional | $56.23 | $56.23 | $56.23 | |
United
| Professional | $36.31 | $42.66 | $75.86 |