| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.27 | $283.27 | $283.27 | |
Aetna
| Professional | $201.90 | $235.05 | $283.27 | |
Cigna
| Professional | $433.13 | $547.70 | $684.62 | |
Medica
| Facility | $284.41 | $341.21 | $553.21 | |
Medica
| Professional | $153.69 | $180.81 | $593.04 | |
Midlands
| Facility | $361.62 | $391.76 | $660.44 | |
Midlands
| Professional | $361.62 | $458.05 | $620.78 | |
Sanford Health Plan
| Professional | $430.93 | $726.04 | $827.87 | |
United
| Professional | $126.57 | $180.81 | $397.78 | |
Wellmark
| Professional | $301.35 | $301.35 | $301.35 |