| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $676.08 | $676.08 | |
Aetna
| Professional | $309.03 | $346.74 | $537.03 | |
Cigna
| Facility | $891.25 | $891.25 | $891.25 | |
Cigna
| Professional | $660.69 | $891.25 | $1,122.02 | |
Medica
| Facility | $436.52 | $524.81 | $851.14 | |
Medica
| Professional | $239.88 | $281.84 | $2,344.23 | |
Midlands
| Professional | $562.34 | $562.34 | $562.34 | |
Sanford Health Plan
| Professional | $660.69 | $1,096.48 | $1,288.25 | |
United
| Professional | $194.98 | $281.84 | $537.03 | |
Wellmark
| Professional | $467.74 | $467.74 | $467.74 |