| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.42 | $338.94 | $338.94 | |
Aetna
| Professional | $187.47 | $273.58 | $463.35 | |
Cigna
| Facility | $297.02 | $297.02 | $533.83 | |
Cigna
| Professional | $297.02 | $565.50 | $706.88 | |
Hally Health
| Professional | $461.04 | $532.38 | $576.91 | |
Medica
| Facility | $304.87 | $576.20 | $2,464.07 | |
Medica
| Professional | $225.23 | $257.52 | $663.06 | |
Midlands
| Facility | $532.27 | $533.83 | $692.01 | |
Midlands
| Professional | $437.22 | $626.24 | $1,020.14 | |
United
| Professional | $225.23 | $242.11 | $571.07 | |
Wellmark
| Facility | $475.59 | $475.59 | $475.59 | |
Wellmark
| Professional | $375.72 | $475.59 | $475.59 |