| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.62 | $30.62 | $30.62 |
Aetna
| Professional | $208.64 | $209.26 | $248.39 | |
Cigna
| Professional | $439.62 | $537.55 | $671.95 | |
Medica
| Professional | $219.45 | $318.29 | $490.69 | |
Midlands
| Professional | $297.00 | $438.43 | $685.78 | |
Sanford Health Plan
| Professional | $236.84 | $329.89 | $442.48 | |
Sanford Health Plan
| Professional | 26 | $40.33 | $51.63 | $58.87 |
United
| Professional | $220.11 | $318.29 | $490.69 | |
Wellmark
| Professional | $390.50 | $459.40 | $459.40 |