| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.49 | $50.49 | $50.49 | |
Aetna
| Professional | $49.12 | $50.49 | $69.98 | |
Cigna
| Professional | $2.09 | $2.12 | $2.62 | |
Medica
| Facility | $70.23 | $72.20 | $134.59 | |
Midlands
| Professional | $32.43 | $32.43 | $32.43 | |
Wellmark
| Professional | $46.14 | $46.14 | $46.14 |