| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $371.54 | |
Aetna
| Professional | $229.09 | $309.03 | $1,230.27 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $398.11 | $630.96 | $794.33 | |
Medica
| Facility | $309.03 | $371.54 | $912.01 | |
Medica
| Professional | $169.82 | $199.53 | $1,659.59 | |
Sanford Health Plan
| Professional | $467.74 | $776.25 | $912.01 | |
United
| Professional | $138.04 | $199.53 | $380.19 | |
Wellmark
| Professional | $331.13 | $331.13 | $331.13 |