| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $549.54 | $812.83 | |
Aetna
| Professional | $15.49 | $83.18 | $371.54 | |
Cigna
| Facility | $34.67 | $34.67 | $34.67 | |
Cigna
| Professional | $20.42 | $34.67 | $42.66 | |
Medica
| Facility | $16.98 | $33.11 | $134.90 | |
Medica
| Professional | $10.72 | $12.59 | $25.12 | |
Sanford Health Plan
| Professional | $26.92 | $43.65 | $48.98 | |
United
| Professional | $7.59 | $12.59 | $30.90 | |
Wellmark
| Professional | $17.78 | $17.78 | $17.78 |