| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.31 | $250.10 | $702.18 | |
Aetna
| Professional | $11.48 | $19.04 | $271.45 | |
Cigna
| Facility | $33.95 | $33.95 | $33.95 | |
Cigna
| Professional | $19.82 | $31.33 | $39.17 | |
Medica
| Facility | $16.42 | $73.26 | $522.03 | |
Medica
| Professional | $10.17 | $15.43 | $29.93 | |
Midlands
| Facility | $20.95 | $31.43 | $39.65 | |
Midlands
| Professional | $20.95 | $31.43 | $44.74 | |
Sanford Health Plan
| Professional | $17.14 | $41.30 | $47.09 | |
United
| Professional | $7.20 | $10.28 | $20.57 | |
Wellmark
| Professional | $17.14 | $17.14 | $17.14 |