| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.94 | $18.61 | $25.65 | |
Aetna
| Professional | $1.10 | $2.49 | $2.94 | |
Cigna
| Professional | $10.88 | $10.88 | $13.59 | |
Medica
| Facility | $3.56 | $4.21 | $8.84 | |
Midlands
| Professional | $12.02 | $12.02 | $12.02 | |
Wellmark
| Professional | $6.00 | $6.00 | $6.00 |