| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $4.59 | $4.59 | $4.59 | |
Medica
| Facility | $5.12 | $6.76 | $10.96 | |
Midlands
| Facility | $4.59 | $4.59 | $4.59 | |
Midlands
| Professional | $4.18 | $4.59 | $11.05 | |
Wellmark
| Professional | $9.19 | $9.19 | $9.19 |