| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $821.00 | $821.00 | $821.00 | |
Cigna
| Facility | $1,348.68 | $1,348.68 | $1,348.68 | |
Cigna
| Professional | $971.58 | $1,228.57 | $1,535.71 | |
Medica
| Facility | $638.35 | $765.86 | $1,241.69 | |
Medica
| Professional | $344.95 | $405.82 | $1,473.94 | |
Midlands
| Facility | $872.81 | $1,236.91 | $1,482.32 | |
Midlands
| Professional | $811.64 | $1,236.91 | $1,482.32 | |
Sanford Health Plan
| Professional | $967.21 | $1,629.58 | $1,858.12 | |
United
| Professional | $284.08 | $344.95 | $892.81 | |
Wellmark
| Professional | $676.37 | $676.37 | $676.37 |