| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $147.91 | $4,365.16 | |
Aetna
| Professional | $87.10 | $138.04 | $263.03 | |
Cigna
| Professional | $213.80 | $338.84 | $446.68 | |
Medica
| Facility | $109.65 | $186.21 | $380.19 | |
Medica
| Professional | $128.82 | $295.12 | $1,122.02 | |
Midlands
| Professional | $213.80 | $229.09 | $338.84 | |
Midlands
| Professional | $199.53 | $199.53 | $302.00 | |
Sanford Health Plan
| Professional | $154.88 | $218.78 | $295.12 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $123.03 | $208.93 | $371.54 | |
Wellmark
| Professional | $173.78 | $213.80 | $331.13 |