| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $66.07 | $93.33 | |
Cigna
| Professional | $107.15 | $151.36 | $186.21 | |
Hally Health
| Professional | $54.95 | $75.86 | $234.42 | |
Medica
| Professional | $64.57 | $100.00 | $407.38 | |
Midlands
| Professional | $91.20 | $131.83 | $199.53 | |
United
| Professional | $63.10 | $93.33 | $158.49 | |
Wellmark
| Professional | $138.04 | $138.04 | $162.18 |