| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.64 | $77.76 | $273.60 | |
Aetna
| Professional | $19.57 | $19.92 | $20.64 | |
Cigna
| Facility | $43.74 | $43.74 | $43.74 | |
Cigna
| Professional | $25.19 | $39.82 | $49.78 | |
Medica
| Facility | $11.87 | $24.86 | $122.00 | |
Medica
| Professional | $13.18 | $19.76 | $45.20 | |
Midlands
| Facility | $23.65 | $31.86 | $44.76 | |
Midlands
| Professional | $23.65 | $33.21 | $57.32 | |
Sanford Health Plan
| Professional | $35.86 | $51.28 | $60.33 | |
United
| Professional | $9.22 | $15.37 | $26.35 | |
Wellmark
| Professional | $21.96 | $21.96 | $21.96 |