| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $138.91 | $138.91 | |
Aetna
| Professional | $127.74 | $138.91 | $138.91 | |
Cigna
| Facility | $188.18 | $188.18 | $188.18 | |
Medica
| Facility | $127.74 | $233.80 | $234.77 | |
Midlands
| Professional | $50.74 | $50.74 | $50.74 |