| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.31 | $1.31 | $1.31 | |
Aetna
| Professional | $1.31 | $1.31 | $2.23 | |
Medica
| Facility | $2.21 | $3.19 | $6.11 | |
Midlands
| Professional | $3.67 | $11.77 | $11.77 | |
Wellmark
| Professional | $8.86 | $8.86 | $8.86 |