| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.69 | $1.69 | $1.69 | |
Cigna
| Professional | $1.89 | $1.89 | $5.74 | |
Medica
| Facility | $2.86 | $2.86 | $4.63 | |
Midlands
| Facility | $5.74 | $5.74 | $5.74 | |
Midlands
| Professional | $5.22 | $5.74 | $6.01 | |
Wellmark
| Professional | $5.00 | $5.00 | $5.00 |