| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.50 | $138.50 | $3,073.00 | |
Aetna
| Professional | $117.01 | $206.50 | $289.61 | |
Cigna
| Professional | $285.32 | $313.98 | $392.47 | |
Medica
| Facility | $185.11 | $319.51 | $571.95 | |
Medica
| Professional | $165.26 | $315.50 | $1,687.48 | |
Midlands
| Facility | $303.88 | $372.97 | $2,824.47 | |
Midlands
| Professional | $234.62 | $346.01 | $430.00 | |
Sanford Health Plan
| Professional | $186.40 | $260.98 | $361.46 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 | |
United
| Professional | $165.26 | $277.94 | $404.99 | |
Wellmark
| Professional | $269.50 | $329.80 | $329.80 |