| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.66 | $418.66 | $428.93 | |
Aetna
| Professional | $244.45 | $322.38 | $538.51 | |
Cigna
| Facility | $380.61 | $380.61 | $622.71 | |
Cigna
| Professional | $563.52 | $698.63 | $873.28 | |
Hally Health
| Professional | $537.79 | $650.70 | $705.14 | |
Medica
| Facility | $355.62 | $711.72 | $2,801.35 | |
Medica
| Professional | $265.39 | $302.52 | $773.45 | |
Midlands
| Facility | $620.88 | $622.71 | $815.41 | |
Midlands
| Professional | $509.99 | $735.93 | $1,189.97 | |
United
| Professional | $265.39 | $282.42 | $742.53 | |
Wellmark
| Facility | $554.78 | $554.78 | $554.78 | |
Wellmark
| Professional | $438.28 | $554.78 | $554.78 |