| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.57 | $216.57 | $216.57 | |
Aetna
| Professional | $216.57 | $233.06 | $298.95 | |
Cigna
| Professional | $128.49 | $413.63 | $517.03 | |
Medica
| Facility | $216.57 | $294.17 | $486.31 | |
Medica
| Professional | $101.92 | $133.55 | $209.52 | |
Midlands
| Facility | $266.61 | $294.45 | $522.00 | |
Midlands
| Professional | $237.20 | $248.35 | $606.65 | |
United
| Professional | $89.03 | $133.55 | $190.79 |