| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.07 | $1.07 | $1.07 | |
Aetna
| Professional | $0.33 | $0.34 | $0.97 | |
Cigna
| Professional | $0.75 | $0.94 | $1.00 | |
Hally Health
| Professional | $1.79 | $2.48 | $150.00 | |
Medica
| Facility | $0.95 | $100.00 | $100.00 | |
Medica
| Professional | $0.33 | $0.83 | $1.20 | |
Midlands
| Facility | $0.95 | $0.95 | $0.95 | |
Midlands
| Professional | $0.83 | $0.95 | $1.20 | |
United
| Professional | $0.49 | $0.49 | $0.49 | |
Wellmark
| Facility | $1.00 | $1.00 | $1.00 | |
Wellmark
| Professional | $1.00 | $1.00 | $1.00 |