| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.67 | $571.67 | $571.67 | |
Aetna
| Professional | $474.37 | $474.37 | $571.67 | |
Cigna
| Professional | $873.50 | $1,104.54 | $1,380.67 | |
Medica
| Facility | $573.99 | $688.62 | $1,116.47 | |
Medica
| Professional | $310.17 | $364.90 | $1,196.88 | |
Midlands
| Facility | $729.80 | $999.87 | $1,332.85 | |
Midlands
| Professional | $729.80 | $1,064.30 | $1,332.85 | |
Sanford Health Plan
| Professional | $869.68 | $1,465.26 | $1,670.76 | |
United
| Professional | $255.43 | $310.17 | $608.16 | |
Wellmark
| Professional | $608.16 | $608.16 | $608.16 |