| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $72.44 | $97.72 | |
Aetna
| Professional | $28.84 | $38.90 | $64.57 | |
Cigna
| Professional | $64.57 | $97.72 | $120.23 | |
Hally Health
| Professional | $29.51 | $50.12 | $151.36 | |
Medica
| Facility | $30.90 | $50.12 | $162.18 | |
Medica
| Professional | $47.86 | $72.44 | $302.00 | |
Midlands
| Professional | $47.86 | $70.79 | $112.20 | |
Midlands
| Professional | $70.79 | $70.79 | $70.79 | |
United
| Professional | $38.90 | $54.95 | $97.72 | |
Wellmark
| Professional | $42.66 | $51.29 | $74.13 |