| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.18 | $56.18 | $66.81 | |
Aetna
| Professional | $41.06 | $51.49 | $59.38 | |
Cigna
| Professional | $70.70 | $110.73 | $140.07 | |
Hally Health
| Professional | $43.78 | $63.48 | $150.00 | |
Medica
| Facility | $45.86 | $68.84 | $122.57 | |
Medica
| Professional | $64.81 | $97.99 | $322.24 | |
Midlands
| Facility | $68.84 | $97.99 | $122.57 | |
Midlands
| Professional | $70.70 | $101.00 | $129.44 | |
United
| Professional | $60.93 | $73.67 | $136.81 | |
Wellmark
| Professional | $61.20 | $71.90 | $86.10 |