| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $346.74 | |
Aetna
| Professional | $199.53 | $229.09 | $346.74 | |
Cigna
| Professional | $426.58 | $575.44 | $724.44 | |
Medica
| Facility | $281.84 | $288.40 | $549.54 | |
Medica
| Professional | $154.88 | $181.97 | $1,513.56 | |
Midlands
| Professional | $363.08 | $363.08 | $363.08 | |
Sanford Health Plan
| Professional | $426.58 | $707.95 | $831.76 | |
United
| Professional | $125.89 | $181.97 | $346.74 | |
Wellmark
| Professional | $302.00 | $302.00 | $302.00 |