| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.13 | $97.13 | $121.41 | |
Medica
| Facility | $146.97 | $231.24 | $464.75 | |
Medica
| Professional | $445.43 | $686.70 | $1,779.80 | |
Midlands
| Facility | $173.15 | $239.47 | $689.27 | |
Midlands
| Professional | $188.06 | $667.12 | $689.27 | |
United
| Professional | $112.63 | $686.70 | $794.38 | |
Wellmark
| Professional | $287.39 | $287.39 | $287.39 |