| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $660.69 | |
Aetna
| Professional | $389.05 | $446.68 | $676.08 | |
Cigna
| Professional | $812.83 | $1,122.02 | $1,412.54 | |
Medica
| Facility | $549.54 | $562.34 | $1,071.52 | |
Medica
| Professional | $295.12 | $354.81 | $2,884.03 | |
Midlands
| Professional | $707.95 | $707.95 | $707.95 | |
Sanford Health Plan
| Professional | $831.76 | $1,380.38 | $1,621.81 | |
United
| Professional | $245.47 | $354.81 | $676.08 | |
Wellmark
| Professional | $588.84 | $588.84 | $588.84 |