| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $7.08 | $7.08 | |
Aetna
| Professional | $7.08 | $7.08 | $7.08 | |
Cigna
| Facility | $0.50 | $0.50 | $0.63 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Medica
| Facility | $7.59 | $12.59 | $15.14 | |
Midlands
| Professional | $0.32 | $0.32 | $0.32 | |
Midlands
| Professional | $0.32 | $0.32 | $0.32 | |
Wellmark
| Professional | $0.30 | $0.30 | $0.30 |