| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.04 | $0.04 | $0.04 | |
Aetna
| Professional | $0.03 | $0.03 | $0.04 | |
Cigna
| Facility | $0.50 | $0.50 | $0.63 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Medica
| Facility | $0.05 | $0.07 | $0.11 | |
Midlands
| Facility | $5.74 | $5.74 | $5.74 | |
Midlands
| Professional | $3.73 | $5.74 | $5.74 | |
Wellmark
| Professional | $3.10 | $3.10 | $3.10 |