| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Aetna
| Professional | $23.38 | $37.64 | $134.63 | |
Cigna
| Professional | $36.96 | $68.17 | $92.52 | |
Hally Health
| Professional | $23.05 | $41.24 | $116.23 | |
Medica
| Facility | $36.54 | $60.55 | $1,607.00 | |
Medica
| Professional | $38.83 | $65.52 | $2,210.02 | |
Midlands
| Facility | $53.87 | $71.33 | $99.64 | |
Midlands
| Professional | $51.18 | $68.95 | $87.67 | |
United
| Facility | $1,204.00 | $1,623.00 | $2,126.00 | |
United
| Professional | $35.60 | $51.61 | $92.34 | |
Wellmark
| Professional | $43.90 | $51.60 | $68.40 |