| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $3.24 | $3.24 | |
Aetna
| Professional | $1.00 | $1.00 | $3.24 | |
Cigna
| Professional | $2.24 | $2.82 | $2.82 | |
Hally Health
| Professional | $3.80 | $5.89 | $151.36 | |
Medica
| Facility | $3.02 | $79.43 | $100.00 | |
Medica
| Professional | $1.12 | $2.63 | $3.16 | |
Midlands
| Professional | $3.02 | $3.02 | $3.16 | |
United
| Facility | $1.51 | $1.51 | $1.51 | |
United
| Professional | $1.51 | $1.51 | $2.69 | |
Wellmark
| Professional | $2.63 | $2.63 | $2.63 |