| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.12 | $96.12 | $96.12 | |
Aetna
| Professional | $51.13 | $79.76 | $145.60 | |
Cigna
| Facility | $203.67 | $203.67 | $203.67 | |
Cigna
| Professional | $146.62 | $185.40 | $231.74 | |
Medica
| Facility | $96.51 | $115.78 | $218.29 | |
Medica
| Professional | $52.15 | $61.36 | $187.50 | |
Midlands
| Facility | $131.96 | $187.50 | $227.24 | |
Midlands
| Professional | $122.71 | $187.50 | $224.10 | |
Sanford Health Plan
| Professional | $146.22 | $246.38 | $280.93 | |
United
| Professional | $42.95 | $52.15 | $102.26 | |
Wellmark
| Professional | $102.26 | $102.26 | $102.26 |