| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.34 | $207.89 | $207.89 | |
Aetna
| Professional | $132.34 | $193.90 | $343.76 | |
Cigna
| Professional | $300.41 | $393.45 | $607.70 | |
Medica
| Facility | $180.86 | $298.89 | $535.03 | |
Medica
| Professional | $187.31 | $513.08 | $1,567.28 | |
Midlands
| Facility | $228.64 | $340.27 | $551.98 | |
Midlands
| Professional | $275.00 | $392.97 | $560.08 | |
Sanford Health Plan
| Professional | $206.62 | $303.37 | $406.90 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $241.68 | $315.06 | $584.80 | |
Wellmark
| Professional | $245.50 | $300.30 | $456.30 |