| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $177.83 | $4,365.16 | |
Aetna
| Professional | $109.65 | $169.82 | $389.05 | |
Cigna
| Professional | $251.19 | $346.74 | $537.03 | |
Medica
| Facility | $144.54 | $223.87 | $457.09 | |
Medica
| Professional | $154.88 | $354.81 | $1,348.96 | |
Midlands
| Professional | $263.03 | $281.84 | $407.38 | |
Midlands
| Professional | $245.47 | $245.47 | $363.08 | |
Sanford Health Plan
| Professional | $194.98 | $257.04 | $346.74 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $147.91 | $257.04 | $436.52 | |
Wellmark
| Professional | $213.80 | $257.04 | $389.05 |