| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.33 | $144.25 | $144.25 | |
Aetna
| Professional | $118.09 | $134.33 | $144.25 | |
Cigna
| Professional | $285.32 | $337.35 | $421.69 | |
Medica
| Facility | $169.64 | $232.77 | $419.57 | |
Medica
| Professional | $164.33 | $358.14 | $1,389.28 | |
Midlands
| Facility | $294.00 | $349.34 | $467.20 | |
Midlands
| Professional | $289.23 | $349.34 | $440.25 | |
Sanford Health Plan
| Professional | $176.36 | $263.95 | $310.51 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $172.10 | $274.73 | $437.44 | |
Wellmark
| Professional | $266.80 | $326.39 | $348.20 |