| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.66 | $148.41 | $171.04 | |
Cigna
| Professional | $183.75 | $231.38 | $315.86 | |
Hally Health
| Professional | $144.47 | $200.70 | $301.82 | |
Medica
| Facility | $139.07 | $210.25 | $875.25 | |
Medica
| Professional | $178.44 | $266.08 | $995.76 | |
Midlands
| Facility | $247.46 | $267.38 | $408.91 | |
Midlands
| Professional | $215.38 | $286.12 | $457.17 | |
United
| Professional | $170.33 | $209.53 | $376.67 | |
Wellmark
| Professional | $205.20 | $241.40 | $300.10 |