| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $38.90 | $74.13 | |
Aetna
| Professional | $1.95 | $2.95 | $36.31 | |
Cigna
| Facility | $4.17 | $4.17 | $4.17 | |
Cigna
| Professional | $2.45 | $4.17 | $5.13 | |
Medica
| Facility | $2.51 | $19.50 | $51.29 | |
Medica
| Professional | $1.35 | $2.45 | $3.16 | |
Sanford Health Plan
| Professional | $3.24 | $5.37 | $6.17 | |
United
| Professional | $1.35 | $2.45 | $3.89 | |
Wellmark
| Professional | $2.24 | $2.24 | $2.24 |