| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.11 | $0.11 | $0.11 | |
Aetna
| Professional | $0.09 | $0.09 | $0.11 | |
Cigna
| Professional | $146.56 | $146.56 | $146.56 | |
Medica
| Facility | $0.14 | $0.17 | $0.19 | |
Midlands
| Facility | $146.56 | $146.56 | $146.56 | |
Midlands
| Professional | $133.08 | $146.56 | $146.56 |