| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.24 | $112.68 | $112.68 | |
Cigna
| Professional | $151.22 | $151.22 | $151.22 | |
Medica
| Facility | $27.28 | $144.57 | $146.61 | |
Wellmark
| Professional | $83.90 | $106.20 | $106.20 |