| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $275.42 | $4,365.16 | |
Aetna
| Professional | $95.50 | $234.42 | $398.11 | |
Cigna
| Professional | $223.87 | $416.87 | $794.33 | |
Medica
| Facility | $151.36 | $331.13 | $467.74 | |
Medica
| Professional | $229.09 | $446.68 | $2,041.74 | |
Midlands
| Professional | $199.53 | $229.09 | $537.03 | |
Midlands
| Professional | $199.53 | $213.80 | $501.19 | |
Sanford Health Plan
| Professional | $173.78 | $323.59 | $512.86 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
United
| Professional | $123.03 | $275.42 | $645.65 | |
Wellmark
| Professional | $204.17 | $251.19 | $616.60 |