| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.74 | $299.74 | $299.74 | |
Aetna
| Professional | $299.74 | $300.00 | $8,487.29 | |
Cigna
| Professional | $532.54 | $623.75 | $768.56 | |
Medica
| Facility | $299.74 | $506.56 | $768.56 | |
Midlands
| Professional | $320.66 | $320.66 | $320.66 | |
Wellmark
| Professional | $240.20 | $293.89 | $293.89 |