| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.25 | $39.25 | $56.98 | |
Aetna
| Professional | $28.67 | $37.09 | $48.46 | |
Cigna
| Professional | $53.90 | $94.91 | $118.64 | |
Hally Health
| Professional | $30.58 | $52.53 | $100.00 | |
Medica
| Facility | $32.65 | $51.18 | $96.37 | |
Medica
| Professional | $49.71 | $72.43 | $218.48 | |
Midlands
| Facility | $48.01 | $70.64 | $93.25 | |
Midlands
| Professional | $48.01 | $70.64 | $96.37 | |
United
| Professional | $48.79 | $61.45 | $109.92 | |
Wellmark
| Professional | $42.60 | $50.20 | $73.80 |