| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $120.23 | |
Aetna
| Professional | $70.79 | $79.43 | $93.33 | |
Cigna
| Professional | $48.98 | $50.12 | $61.66 | |
Medica
| Facility | $48.98 | $120.23 | $177.83 | |
Medica
| Professional | $43.65 | $67.61 | $100.00 | |
Midlands
| Professional | $72.44 | $72.44 | $72.44 | |
Midlands
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Professional | $40.74 | $69.18 | $120.23 |