| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.94 | $242.96 | $242.96 | |
Aetna
| Professional | $161.94 | $227.65 | $400.65 | |
Cigna
| Professional | $368.12 | $479.15 | $708.98 | |
Medica
| Facility | $211.00 | $349.20 | $631.30 | |
Medica
| Professional | $220.86 | $605.63 | $1,832.96 | |
Midlands
| Facility | $255.57 | $415.50 | $645.32 | |
Midlands
| Professional | $331.00 | $459.48 | $654.79 | |
Sanford Health Plan
| Professional | $244.53 | $356.75 | $476.77 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $220.86 | $442.10 | $687.71 | |
Wellmark
| Professional | $300.60 | $367.80 | $534.60 |