| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $323.59 | $338.84 | |
Cigna
| Professional | $354.81 | $426.58 | $446.68 | |
Medica
| Facility | $295.12 | $549.54 | $1,548.82 | |
Medica
| Professional | $295.12 | $524.81 | $831.76 | |
Midlands
| Professional | $426.58 | $426.58 | $426.58 | |
United
| Professional | $295.12 | $426.58 | $724.44 | |
Wellmark
| Professional | $223.87 | $223.87 | $223.87 |