| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.97 | $32.97 | $32.97 | |
Aetna
| Professional | $23.51 | $27.37 | $32.97 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.08 | $63.32 | $79.15 | |
Medica
| Facility | $33.11 | $39.72 | $64.42 | |
Medica
| Professional | $17.89 | $21.05 | $69.05 | |
Midlands
| Facility | $45.28 | $64.17 | $89.83 | |
Midlands
| Professional | $42.11 | $64.17 | $76.90 | |
Sanford Health Plan
| Professional | $50.18 | $84.54 | $96.40 | |
United
| Professional | $14.74 | $17.89 | $35.09 | |
Wellmark
| Professional | $35.09 | $35.09 | $35.09 |