| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.36 | $0.71 | $85.37 | |
Aetna
| Professional | $0.19 | $0.19 | $0.19 | |
Hally Health
| Professional | $6.00 | $6.00 | $150.00 | |
Medica
| Facility | $0.27 | $0.32 | $3.22 | |
Wellmark
| Facility | $0.20 | $0.20 | $0.20 |