| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $13.99 | $60.75 | $75.94 | |
Medica
| Facility | $3.37 | $3.38 | $5.48 | |
Medica
| Professional | $29.07 | $33.02 | $58.47 | |
Midlands
| Professional | $5.51 | $5.51 | $5.51 | |
United
| Professional | $21.57 | $31.88 | $58.47 | |
Wellmark
| Professional | $4.61 | $4.61 | $4.61 |