| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $41.69 | $41.69 | $52.48 | |
Medica
| Professional | $23.99 | $23.99 | $43.65 | |
United
| Professional | $23.99 | $36.31 | $43.65 | |
Wellmark
| Professional | $1.00 | $1.00 | $1.00 |