| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.47 | $44.09 | $56.16 | |
Cigna
| Professional | $54.00 | $67.50 | $68.58 | |
Hally Health
| Professional | $40.19 | $42.68 | $62.65 | |
Medica
| Professional | $42.55 | $69.41 | $94.09 | |
Midlands
| Professional | $56.50 | $73.09 | $109.49 | |
United
| Professional | $38.49 | $59.29 | $94.09 | |
Wellmark
| Professional | $53.48 | $67.70 | $67.70 |