| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $42.66 | $57.54 | |
Cigna
| Professional | $53.70 | $67.61 | $91.20 | |
Hally Health
| Professional | $38.02 | $44.67 | $70.79 | |
Medica
| Professional | $54.95 | $81.28 | $338.84 | |
Midlands
| Professional | $61.66 | $89.13 | $213.80 | |
United
| Professional | $52.48 | $69.18 | $123.03 | |
Wellmark
| Professional | $58.88 | $58.88 | $69.18 |