| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $173.78 | $223.87 | |
Cigna
| Professional | $190.55 | $239.88 | $323.59 | |
Hally Health
| Professional | $134.90 | $151.36 | $177.83 | |
Medica
| Professional | $181.97 | $263.03 | $1,096.48 | |
Midlands
| Professional | $223.87 | $323.59 | $691.83 | |
United
| Professional | $177.83 | $229.09 | $407.38 | |
Wellmark
| Professional | $208.93 | $208.93 | $245.47 |