| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $630.96 | $776.25 | |
Aetna
| Professional | $457.09 | $512.86 | $812.83 | |
Cigna
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
Cigna
| Professional | $954.99 | $1,288.25 | $1,621.81 | |
Medica
| Facility | $645.65 | $758.58 | $1,230.27 | |
Medica
| Professional | $346.74 | $407.38 | $3,388.44 | |
Midlands
| Professional | $812.83 | $812.83 | $812.83 | |
Sanford Health Plan
| Professional | $977.24 | $1,584.89 | $1,862.09 | |
United
| Professional | $281.84 | $346.74 | $676.08 | |
Wellmark
| Professional | $676.08 | $676.08 | $676.08 |