| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.43 | $156.46 | $4,086.02 | |
Aetna
| Professional | $83.79 | $136.29 | $208.40 | |
Cigna
| Professional | $198.50 | $266.20 | $457.72 | |
Medica
| Facility | $123.45 | $225.56 | $407.19 | |
Medica
| Professional | $162.69 | $353.43 | $3,593.56 | |
Midlands
| Facility | $157.59 | $285.73 | $495.35 | |
Midlands
| Professional | $203.78 | $294.64 | $425.15 | |
Sanford Health Plan
| Professional | $153.97 | $229.57 | $307.92 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
United
| Professional | $162.69 | $295.80 | $440.58 | |
Wellmark
| Professional | $166.00 | $203.10 | $345.30 |