| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.78 | $106.42 | $518.22 | |
Cigna
| Professional | $30.71 | $33.82 | $38.38 | |
Hally Health
| Professional | $12.89 | $19.28 | $147.94 | |
Medica
| Professional | $22.83 | $33.86 | $43.24 | |
Midlands
| Professional | $28.59 | $38.43 | $44.63 | |
United
| Professional | $17.50 | $28.31 | $41.40 | |
Wellmark
| Professional | $27.70 | $27.70 | $27.70 |