| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $1.15 | $1.15 | $1.76 | |
Medica
| Facility | $5.72 | $6.76 | $8.00 | |
Midlands
| Facility | $1.15 | $1.15 | $1.15 | |
Midlands
| Professional | $1.05 | $1.15 | $1.20 | |
Wellmark
| Professional | $1.00 | $1.00 | $1.00 |