| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.13 | $24.41 | $66.43 | |
Aetna
| Professional | $7.95 | $7.95 | $66.42 | |
Cigna
| Professional | $11.98 | $18.93 | $23.66 | |
Hally Health
| Professional | $10.33 | $18.07 | $71.54 | |
Medica
| Facility | $10.33 | $16.52 | $38.44 | |
Medica
| Professional | $6.20 | $10.64 | $27.05 | |
Midlands
| Facility | $12.65 | $21.06 | $32.38 | |
Midlands
| Professional | $12.41 | $21.06 | $28.81 | |
United
| Professional | $6.20 | $6.20 | $23.76 | |
Wellmark
| Professional | $8.16 | $10.33 | $10.33 |