| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.39 | $61.66 | $117.49 | |
Aetna
| Professional | $2.45 | $5.01 | $42.66 | |
Cigna
| Facility | $6.17 | $6.17 | $6.17 | |
Cigna
| Professional | $3.72 | $6.17 | $7.76 | |
Medica
| Facility | $5.75 | $58.88 | $104.71 | |
Medica
| Professional | $1.91 | $3.47 | $4.47 | |
Sanford Health Plan
| Professional | $5.13 | $8.13 | $8.71 | |
United
| Professional | $1.91 | $3.47 | $5.50 | |
Wellmark
| Professional | $3.16 | $3.16 | $3.16 |