| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.01 | $204.48 | $204.48 | |
Aetna
| Professional | $133.06 | $191.19 | $337.46 | |
Cigna
| Professional | $298.85 | $391.50 | $596.99 | |
Medica
| Facility | $177.63 | $293.55 | $525.97 | |
Medica
| Professional | $184.17 | $466.45 | $1,540.08 | |
Midlands
| Facility | $222.90 | $338.56 | $542.10 | |
Midlands
| Professional | $271.00 | $386.11 | $550.05 | |
Sanford Health Plan
| Professional | $203.01 | $298.06 | $399.78 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $204.41 | $362.95 | $574.70 | |
Wellmark
| Professional | $244.30 | $298.89 | $448.30 |