| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.24 | $31.30 | $177.38 | |
Aetna
| Professional | $4.34 | $5.57 | $31.15 | |
Cigna
| Facility | $11.10 | $11.10 | $11.10 | |
Cigna
| Professional | $6.20 | $9.78 | $12.24 | |
Medica
| Facility | $5.33 | $8.94 | $70.00 | |
Medica
| Professional | $3.34 | $5.01 | $11.46 | |
Midlands
| Facility | $7.19 | $11.36 | $17.46 | |
Midlands
| Professional | $7.19 | $12.21 | $15.98 | |
Sanford Health Plan
| Professional | $9.11 | $13.01 | $15.30 | |
United
| Professional | $2.34 | $3.90 | $6.68 | |
Wellmark
| Professional | $5.57 | $5.57 | $5.57 |