| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $64.57 | $416.87 | |
Aetna
| Professional | $8.91 | $21.88 | $64.57 | |
Cigna
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $14.45 | $23.99 | $30.20 | |
Medica
| Facility | $12.02 | $47.86 | $263.03 | |
Medica
| Professional | $7.59 | $7.59 | $15.14 | |
Sanford Health Plan
| Professional | $17.78 | $29.51 | $34.67 | |
United
| Professional | $5.25 | $7.59 | $16.60 | |
Wellmark
| Professional | $12.59 | $12.59 | $12.59 |