| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.77 | $10.77 | $10.77 | |
Aetna
| Professional | $8.65 | $10.77 | $12.67 | |
Cigna
| Professional | $5.91 | $14.25 | $17.80 | |
Medica
| Facility | $10.77 | $14.98 | $24.17 | |
Medica
| Professional | $4.80 | $6.64 | $10.41 | |
Midlands
| Facility | $13.00 | $14.64 | $25.95 | |
Midlands
| Professional | $10.75 | $11.99 | $30.17 | |
United
| Professional | $4.80 | $6.64 | $7.39 |