| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.30 | $0.30 | $0.30 | |
Cigna
| Professional | $2.71 | $2.71 | $3.53 | |
Hally Health
| Professional | $17.78 | $47.80 | $55.60 | |
Medica
| Facility | $0.30 | $0.30 | $0.51 | |
Medica
| Professional | $3.53 | $3.53 | $3.53 | |
Midlands
| Professional | $3.53 | $3.53 | $3.53 | |
Wellmark
| Professional | $2.10 | $2.66 | $2.66 |