| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.54 | $35.63 | $122.77 | |
Cigna
| Professional | $39.78 | $43.33 | $49.73 | |
Hally Health
| Professional | $16.86 | $24.83 | $90.66 | |
Medica
| Professional | $23.08 | $35.19 | $53.02 | |
Midlands
| Professional | $28.06 | $39.90 | $52.24 | |
United
| Professional | $22.67 | $31.54 | $52.16 | |
Wellmark
| Professional | $35.90 | $35.90 | $35.90 |