| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $676.08 | |
Aetna
| Professional | $398.11 | $457.09 | $691.83 | |
Cigna
| Professional | $851.14 | $1,148.15 | $1,445.44 | |
Medica
| Facility | $562.34 | $575.44 | $1,096.48 | |
Medica
| Professional | $309.03 | $363.08 | $3,019.95 | |
Midlands
| Professional | $724.44 | $724.44 | $724.44 | |
Sanford Health Plan
| Professional | $851.14 | $1,412.54 | $1,659.59 | |
United
| Professional | $251.19 | $363.08 | $691.83 | |
Wellmark
| Professional | $602.56 | $602.56 | $602.56 |