| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $549.54 | $549.54 | |
Aetna
| Professional | $144.54 | $363.08 | $549.54 | |
Cigna
| Facility | $933.25 | $933.25 | $933.25 | |
Cigna
| Professional | $676.08 | $933.25 | $1,148.15 | |
Medica
| Facility | $457.09 | $549.54 | $891.25 | |
Medica
| Professional | $104.71 | $123.03 | $2,398.83 | |
Midlands
| Professional | $575.44 | $575.44 | $575.44 | |
Sanford Health Plan
| Professional | $691.83 | $1,122.02 | $1,318.26 | |
United
| Professional | $104.71 | $123.03 | $478.63 | |
Wellmark
| Professional | $478.63 | $478.63 | $478.63 |