| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.13 | $54.95 | $102.33 | |
Aetna
| Professional | $2.24 | $6.03 | $35.48 | |
Cigna
| Professional | $3.89 | $6.17 | $7.76 | |
Hally Health
| Professional | $3.16 | $5.75 | $25.12 | |
Medica
| Facility | $3.80 | $14.79 | $61.66 | |
Medica
| Professional | $3.16 | $4.47 | $7.76 | |
Midlands
| Professional | $3.80 | $3.80 | $4.07 | |
Midlands
| Facility | $3.89 | $3.89 | $3.89 | |
United
| Facility | $3.16 | $3.16 | $7.08 | |
United
| Professional | $2.82 | $3.16 | $7.24 | |
Wellmark
| Professional | $2.51 | $3.16 | $3.16 |