| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.24 | $3.24 | $3.24 | |
Aetna
| Professional | $1.12 | $1.13 | $3.01 | |
Cigna
| Professional | $2.25 | $2.80 | $2.81 | |
Hally Health
| Professional | $3.81 | $5.04 | $150.00 | |
Medica
| Facility | $3.01 | $100.00 | $100.00 | |
Medica
| Professional | $1.12 | $2.62 | $3.18 | |
Midlands
| Facility | $3.01 | $3.01 | $3.01 | |
Midlands
| Professional | $2.62 | $3.01 | $3.18 | |
United
| Professional | $1.52 | $1.52 | $2.70 | |
Wellmark
| Facility | $2.65 | $2.65 | $2.65 | |
Wellmark
| Professional | $2.65 | $2.65 | $2.65 |