| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $398.11 | |
Aetna
| Professional | $234.42 | $263.03 | $398.11 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Professional | $501.19 | $676.08 | $831.76 | |
Medica
| Facility | $331.13 | $398.11 | $645.65 | |
Medica
| Professional | $177.83 | $208.93 | $1,737.80 | |
Midlands
| Professional | $416.87 | $416.87 | $416.87 | |
Sanford Health Plan
| Professional | $501.19 | $812.83 | $954.99 | |
United
| Professional | $147.91 | $177.83 | $346.74 |