| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.40 | $2.21 | $2.97 | |
Aetna
| Professional | $0.80 | $0.80 | $0.80 | |
Hally Health
| Professional | $1.50 | $1.50 | $150.00 | |
Medica
| Facility | $1.66 | $2.64 | $2.64 | |
Midlands
| Facility | $1.29 | $1.51 | $2.06 | |
Wellmark
| Facility | $0.83 | $0.83 | $0.83 |