| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $467.74 | $575.44 | |
Aetna
| Professional | $338.84 | $389.05 | $602.56 | |
Cigna
| Professional | $524.81 | $524.81 | $660.69 | |
Medica
| Facility | $478.63 | $489.78 | $2,398.83 | |
Medica
| Professional | $257.04 | $257.04 | $602.56 | |
Sanford Health Plan
| Professional | $724.44 | $1,174.90 | $1,380.38 | |
United
| Professional | $213.80 | $302.00 | $660.69 | |
Wellmark
| Professional | $501.19 | $501.19 | $501.19 |