| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.33 | $15.91 | $18.59 | |
Cigna
| Professional | $18.75 | $23.44 | $33.63 | |
Hally Health
| Professional | $13.83 | $16.27 | $29.45 | |
Medica
| Facility | $14.48 | $19.07 | $89.51 | |
Medica
| Professional | $19.89 | $27.68 | $74.19 | |
Midlands
| Facility | $22.30 | $25.71 | $41.00 | |
Midlands
| Professional | $22.53 | $29.66 | $45.58 | |
United
| Professional | $18.98 | $21.71 | $42.00 | |
Wellmark
| Professional | $21.30 | $25.10 | $25.10 |