| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.55 | $154.61 | $183.69 | |
Cigna
| Professional | $189.75 | $237.19 | $326.67 | |
Hally Health
| Professional | $135.00 | $158.82 | $254.84 | |
Medica
| Professional | $190.08 | $264.38 | $706.73 | |
Midlands
| Professional | $223.79 | $294.33 | $466.28 | |
United
| Professional | $178.73 | $223.67 | $401.24 | |
Wellmark
| Professional | $208.40 | $245.20 | $245.20 |