| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.38 | $112.64 | $131.00 | |
Cigna
| Professional | $138.00 | $178.88 | $237.80 | |
Hally Health
| Professional | $108.56 | $154.79 | $231.78 | |
Medica
| Facility | $104.50 | $162.01 | $652.90 | |
Medica
| Professional | $136.53 | $203.81 | $750.24 | |
Midlands
| Facility | $185.34 | $204.80 | $313.20 | |
Midlands
| Professional | $162.01 | $215.02 | $343.35 | |
United
| Professional | $130.33 | $156.28 | $288.20 | |
Wellmark
| Professional | $153.69 | $180.80 | $231.00 |