| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.30 | $240.88 | $240.88 | |
Aetna
| Professional | $164.30 | $228.65 | $472.82 | |
Cigna
| Professional | $373.56 | $485.96 | $704.11 | |
Medica
| Facility | $209.47 | $346.77 | $629.63 | |
Medica
| Professional | $219.92 | $602.40 | $1,821.84 | |
Midlands
| Facility | $249.27 | $423.19 | $641.75 | |
Midlands
| Professional | $332.00 | $456.45 | $651.16 | |
Sanford Health Plan
| Professional | $246.70 | $355.21 | $473.53 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $265.06 | $475.87 | $684.04 | |
Wellmark
| Professional | $304.70 | $372.90 | $531.00 |