| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $109.65 | $229.09 | |
Aetna
| Professional | $6.46 | $10.96 | $100.00 | |
Cigna
| Facility | $15.85 | $15.85 | $15.85 | |
Cigna
| Professional | $9.55 | $15.85 | $19.95 | |
Medica
| Facility | $9.33 | $44.67 | $181.97 | |
Medica
| Professional | $4.17 | $5.75 | $11.48 | |
Sanford Health Plan
| Professional | $13.18 | $19.50 | $22.39 | |
United
| Professional | $3.47 | $5.75 | $14.13 | |
Wellmark
| Professional | $8.13 | $8.13 | $8.13 |