| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $165.96 | $4,365.16 | |
Aetna
| Professional | $97.72 | $151.36 | $346.74 | |
Cigna
| Professional | $234.42 | $309.03 | $501.19 | |
Medica
| Facility | $128.82 | $204.17 | $416.87 | |
Medica
| Professional | $141.25 | $316.23 | $1,258.93 | |
Midlands
| Professional | $234.42 | $251.19 | $371.54 | |
Midlands
| Professional | $218.78 | $218.78 | $338.84 | |
Sanford Health Plan
| Professional | $173.78 | $234.42 | $323.59 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $134.90 | $234.42 | $407.38 | |
Wellmark
| Professional | $190.55 | $229.09 | $363.08 |