| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $544.71 | $544.71 | $544.71 |
Cigna
| Professional | AA | $479.99 | $565.95 | $599.99 |
Wellmark
| Professional | AA | $518.00 | $518.00 | $518.00 |
Wellmark
| Professional | QZ | $403.90 | $403.90 | $403.90 |