| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.24 | $186.23 | $227.23 | |
Cigna
| Professional | $228.00 | $285.00 | $389.13 | |
Hally Health
| Professional | $162.28 | $190.92 | $305.13 | |
Medica
| Professional | $235.49 | $327.54 | $874.68 | |
Midlands
| Professional | $269.16 | $364.21 | $575.55 | |
United
| Professional | $203.38 | $248.68 | $473.12 | |
Wellmark
| Professional | $249.40 | $293.39 | $293.39 |