| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.20 | $438.20 | $438.20 | |
Aetna
| Professional | $363.61 | $438.20 | $438.20 | |
Cigna
| Facility | $929.59 | $929.59 | $929.59 | |
Cigna
| Professional | $669.58 | $846.68 | $1,058.34 | |
Medica
| Facility | $439.97 | $527.84 | $855.78 | |
Medica
| Professional | $237.75 | $279.70 | $914.00 | |
Midlands
| Facility | $601.55 | $887.47 | $1,193.40 | |
Midlands
| Professional | $559.40 | $904.84 | $1,021.65 | |
Sanford Health Plan
| Professional | $666.62 | $1,123.14 | $1,280.66 | |
United
| Professional | $195.79 | $279.70 | $466.17 | |
Wellmark
| Professional | $466.17 | $466.17 | $466.17 |