| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $213.80 | $870.96 | |
Aetna
| Professional | $7.41 | $16.60 | $162.18 | |
Cigna
| Facility | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $12.30 | $20.89 | $25.70 | |
Medica
| Facility | $33.11 | $165.96 | $288.40 | |
Medica
| Professional | $5.37 | $7.41 | $21.88 | |
Sanford Health Plan
| Professional | $17.38 | $25.70 | $28.84 | |
United
| Professional | $4.47 | $7.41 | $18.20 | |
Wellmark
| Professional | $10.47 | $10.47 | $10.47 |