| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.13 | $135.13 | $165.22 | |
Cigna
| Professional | $173.25 | $174.98 | $216.56 | |
Midlands
| Facility | $224.00 | $224.00 | $224.00 | |
Midlands
| Professional | $200.00 | $200.74 | $408.00 | |
Wellmark
| Professional | $1.00 | $1.00 | $1.00 |