| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.05 | $72.22 | $134.88 | |
Aetna
| Professional | $2.47 | $3.17 | $40.04 | |
Cigna
| Facility | $6.53 | $6.53 | $6.53 | |
Cigna
| Professional | $3.72 | $5.88 | $7.34 | |
Medica
| Facility | $5.08 | $58.36 | $104.28 | |
Medica
| Professional | $1.90 | $3.17 | $4.43 | |
Midlands
| Facility | $4.08 | $6.45 | $9.94 | |
Midlands
| Professional | $4.08 | $7.00 | $9.07 | |
Sanford Health Plan
| Professional | $5.17 | $7.64 | $8.71 | |
United
| Professional | $1.90 | $3.17 | $3.80 | |
Wellmark
| Professional | $3.17 | $3.17 | $3.17 |