| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.31 | $55.88 | $171.26 | |
Cigna
| Professional | $59.71 | $77.91 | $176.27 | |
Hally Health
| Professional | $27.83 | $76.36 | $108.04 | |
Medica
| Professional | $61.66 | $101.10 | $1,236.00 | |
Midlands
| Professional | $61.15 | $109.00 | $164.54 | |
United
| Professional | $61.66 | $84.08 | $168.15 | |
Wellmark
| Professional | $50.40 | $59.30 | $128.30 |