| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.47 | $164.28 | $164.28 | |
Aetna
| Professional | $119.59 | $153.31 | $207.52 | |
Cigna
| Professional | $261.58 | $346.70 | $476.22 | |
Medica
| Facility | $155.82 | $237.24 | $462.76 | |
Medica
| Professional | $157.38 | $402.98 | $1,249.20 | |
Midlands
| Facility | $269.33 | $328.03 | $447.57 | |
Midlands
| Professional | $242.00 | $331.47 | $451.57 | |
Sanford Health Plan
| Professional | $170.45 | $242.60 | $325.39 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $157.38 | $315.52 | $486.00 | |
Wellmark
| Professional | $221.10 | $270.60 | $364.90 |