| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.28 | $22.63 | $36.34 | |
Cigna
| Professional | $27.62 | $34.52 | $50.54 | |
Hally Health
| Professional | $28.33 | $39.47 | $54.55 | |
Medica
| Professional | $24.57 | $31.70 | $92.35 | |
Midlands
| Professional | $34.00 | $47.82 | $67.73 | |
United
| Professional | $23.14 | $31.66 | $49.59 | |
Wellmark
| Professional | $40.79 | $40.79 | $48.00 |