| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.86 | $423.86 | $423.86 | |
Aetna
| Professional | $302.11 | $351.71 | $423.86 | |
Cigna
| Facility | $898.91 | $898.91 | $898.91 | |
Cigna
| Professional | $647.89 | $819.26 | $1,024.08 | |
Medica
| Facility | $425.57 | $510.57 | $827.78 | |
Medica
| Professional | $231.58 | $270.55 | $826.78 | |
Midlands
| Facility | $581.86 | $826.78 | $988.21 | |
Midlands
| Professional | $541.09 | $826.78 | $970.92 | |
Sanford Health Plan
| Professional | $540.54 | $1,052.92 | $1,238.74 | |
United
| Professional | $189.38 | $231.58 | $450.91 | |
Wellmark
| Professional | $450.91 | $450.91 | $450.91 |