| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,986.00 | $4,986.00 | $4,986.00 | |
Cigna
| Facility | $1,821.96 | $1,821.96 | $1,821.96 | |
Cigna
| Professional | $1,312.82 | $1,660.07 | $2,075.09 | |
Medica
| Facility | $0.02 | $0.02 | $0.04 | |
Medica
| Professional | $466.14 | $548.40 | $1,675.91 | |
Midlands
| Facility | $1,179.45 | $1,675.91 | $2,339.84 | |
Midlands
| Professional | $1,096.80 | $1,675.91 | $2,003.11 | |
Sanford Health Plan
| Professional | $1,307.02 | $2,202.10 | $2,510.94 | |
United
| Professional | $383.88 | $548.40 | $822.60 | |
Wellmark
| Professional | $914.00 | $914.00 | $914.00 |