| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Cigna
| Professional | $196.48 | $196.48 | $196.48 | |
Medica
| Facility | $2.12 | $2.13 | $3.45 | |
Midlands
| Professional | $256.20 | $294.01 | $294.01 | |
Wellmark
| Professional | $244.80 | $244.80 | $244.80 |