| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,905.46 | $1,905.46 | $1,949.84 | |
Cigna
| Professional | $5,623.41 | $5,888.44 | $11,748.98 | |
Medica
| Facility | $5,623.41 | $5,623.41 | $7,943.28 | |
Medica
| Professional | $1,288.25 | $1,513.56 | $24,547.09 | |
Sanford Health Plan
| Professional | $8,128.31 | $12,882.50 | $13,803.84 | |
United
| Professional | $1,288.25 | $2,089.30 | $4,897.79 | |
Wellmark
| Professional | $4,897.79 | $4,897.79 | $4,897.79 |