| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $39.81 | |
Aetna
| Professional | $22.91 | $25.70 | $41.69 | |
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $48.98 | $66.07 | $83.18 | |
Medica
| Facility | $33.11 | $39.81 | $64.57 | |
Medica
| Professional | $17.78 | $20.89 | $173.78 | |
Midlands
| Professional | $41.69 | $41.69 | $41.69 | |
Sanford Health Plan
| Professional | $50.12 | $81.28 | $95.50 | |
United
| Professional | $14.79 | $20.89 | $40.74 | |
Wellmark
| Professional | $35.48 | $35.48 | $35.48 |