| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $36.31 | |
Aetna
| Professional | $20.89 | $23.99 | $1,445.44 | |
Cigna
| Professional | $36.31 | $60.26 | $75.86 | |
Medica
| Facility | $29.51 | $30.20 | $151.36 | |
Medica
| Professional | $16.22 | $16.22 | $38.02 | |
Sanford Health Plan
| Professional | $45.71 | $74.13 | $87.10 | |
United
| Professional | $13.18 | $19.05 | $41.69 | |
Wellmark
| Professional | $31.62 | $31.62 | $31.62 |