| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $28.84 | $54.95 | |
Aetna
| Professional | $2.00 | $5.01 | $8.13 | |
Cigna
| Facility | $6.92 | $6.92 | $6.92 | |
Cigna
| Professional | $4.17 | $6.92 | $8.71 | |
Medica
| Facility | $3.31 | $3.98 | $13.49 | |
Medica
| Professional | $2.09 | $2.82 | $4.17 | |
Sanford Health Plan
| Professional | $5.01 | $7.08 | $9.55 | |
United
| Professional | $2.09 | $2.82 | $4.57 | |
Wellmark
| Professional | $3.47 | $3.47 | $3.47 |