| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.57 | $48.20 | $51.08 | |
Cigna
| Professional | $30.65 | $64.73 | $82.78 | |
Hally Health
| Professional | $21.26 | $35.89 | $94.41 | |
Medica
| Professional | $34.24 | $67.27 | $509.00 | |
Midlands
| Professional | $47.00 | $65.91 | $85.05 | |
United
| Professional | $31.38 | $51.35 | $92.87 | |
Wellmark
| Professional | $43.29 | $55.90 | $64.50 |