| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $144.54 | $4,365.16 | |
Aetna
| Professional | $81.28 | $123.03 | $162.18 | |
Cigna
| Professional | $186.21 | $234.42 | $389.05 | |
Medica
| Facility | $117.49 | $190.55 | $371.54 | |
Medica
| Professional | $138.04 | $275.42 | $1,000.00 | |
Midlands
| Professional | $190.55 | $199.53 | $338.84 | |
Sanford Health Plan
| Professional | $138.04 | $186.21 | $269.15 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $102.33 | $186.21 | $389.05 | |
Wellmark
| Professional | $173.78 | $213.80 | $338.84 |