| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.63 | $229.63 | $229.63 | |
Aetna
| Professional | $229.63 | $229.63 | $1,096.79 | |
Cigna
| Professional | $681.18 | $681.18 | $681.18 | |
Medica
| Facility | $386.47 | $841.11 | $3,005.20 | |
Midlands
| Facility | $681.18 | $681.18 | $681.18 | |
Midlands
| Professional | $618.54 | $681.18 | $700.17 | |
Wellmark
| Professional | $227.25 | $227.25 | $227.25 |