| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.05 | $334.19 | $334.19 | |
Aetna
| Professional | $180.59 | $286.33 | $334.19 | |
Cigna
| Professional | $480.96 | $605.75 | $958.29 | |
Medica
| Facility | $286.33 | $473.61 | $875.05 | |
Medica
| Professional | $348.56 | $757.02 | $2,508.56 | |
Midlands
| Facility | $514.49 | $757.02 | $1,913.58 | |
Midlands
| Professional | $514.49 | $624.78 | $928.37 | |
Sanford Health Plan
| Professional | $334.65 | $491.95 | $659.84 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
United
| Professional | $351.30 | $670.66 | $944.58 | |
Wellmark
| Professional | $395.40 | $483.80 | $739.90 |