| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.80 | $549.80 | $549.80 | |
Aetna
| Professional | $391.88 | $456.22 | $549.80 | |
Cigna
| Professional | $839.94 | $1,062.10 | $1,327.63 | |
Medica
| Facility | $552.02 | $662.28 | $1,073.75 | |
Medica
| Professional | $298.30 | $350.94 | $1,151.08 | |
Midlands
| Facility | $701.88 | $760.37 | $1,281.84 | |
Midlands
| Professional | $701.88 | $889.05 | $1,204.89 | |
Sanford Health Plan
| Professional | $836.41 | $1,409.20 | $1,606.84 | |
United
| Professional | $245.66 | $298.30 | $584.90 | |
Wellmark
| Professional | $584.90 | $584.90 | $584.90 |