| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.51 | $38.58 | $151.41 | |
Aetna
| Professional | $7.91 | $9.22 | $66.00 | |
Cigna
| Professional | $13.63 | $21.54 | $26.93 | |
Hally Health
| Professional | $11.98 | $20.97 | $80.83 | |
Medica
| Facility | $11.98 | $20.44 | $60.00 | |
Medica
| Professional | $7.19 | $12.34 | $33.06 | |
Midlands
| Facility | $14.69 | $24.43 | $37.56 | |
Midlands
| Professional | $14.39 | $24.43 | $34.36 | |
United
| Professional | $7.19 | $7.19 | $27.55 | |
Wellmark
| Professional | $9.46 | $11.98 | $11.98 |