| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $407.38 | $4,365.16 | |
Aetna
| Professional | $177.83 | $398.11 | $954.99 | |
Cigna
| Professional | $407.38 | $691.83 | $1,230.27 | |
Medica
| Facility | $229.09 | $512.86 | $1,000.00 | |
Medica
| Professional | $346.74 | $724.44 | $3,090.30 | |
Midlands
| Professional | $407.38 | $457.09 | $891.25 | |
Midlands
| Professional | $398.11 | $398.11 | $812.83 | |
Sanford Health Plan
| Professional | $309.03 | $588.84 | $794.33 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $239.88 | $489.78 | $977.24 | |
Wellmark
| Professional | $338.84 | $407.38 | $891.25 |