| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.20 | $411.61 | $411.61 | |
Aetna
| Professional | $181.20 | $380.39 | $823.70 | |
Cigna
| Professional | $411.21 | $531.74 | $1,200.79 | |
Medica
| Facility | $250.75 | $531.69 | $996.22 | |
Medica
| Professional | $356.78 | $774.84 | $3,074.80 | |
Midlands
| Facility | $466.08 | $685.00 | $1,059.49 | |
Midlands
| Professional | $411.21 | $737.10 | $1,059.49 | |
Sanford Health Plan
| Professional | $310.69 | $595.64 | $798.92 | |
United
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Professional | $375.39 | $721.33 | $1,122.07 | |
Wellmark
| Professional | $335.00 | $409.90 | $895.90 |