| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $20.89 | |
Aetna
| Professional | $12.02 | $14.13 | $21.88 | |
Cigna
| Professional | $21.38 | $35.48 | $43.65 | |
Medica
| Facility | $17.38 | $17.78 | $87.10 | |
Medica
| Professional | $9.33 | $9.33 | $21.88 | |
Sanford Health Plan
| Professional | $26.30 | $42.66 | $50.12 | |
United
| Professional | $7.76 | $10.96 | $24.55 | |
Wellmark
| Professional | $18.20 | $18.20 | $18.20 |