| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.88 | $348.63 | $492.36 | |
Cigna
| Professional | $441.36 | $647.63 | $900.83 | |
Hally Health
| Professional | $215.79 | $409.89 | $973.90 | |
Medica
| Professional | $352.87 | $646.37 | $2,178.14 | |
Midlands
| Professional | $459.92 | $643.59 | $833.70 | |
United
| Professional | $322.18 | $511.84 | $929.34 | |
Wellmark
| Professional | $434.50 | $511.10 | $702.90 |