| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.17 | $3.43 | $4.61 | |
Aetna
| Professional | $1.24 | $1.24 | $1.24 | |
Hally Health
| Professional | $2.66 | $2.66 | $150.00 | |
Medica
| Facility | $2.10 | $2.10 | $2.31 | |
Midlands
| Facility | $1.61 | $2.13 | $3.10 | |
Wellmark
| Facility | $1.29 | $1.29 | $1.29 |