| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.85 | $611.44 | $2,086.06 | |
Aetna
| Professional | $15.63 | $83.91 | $225.00 | |
Cigna
| Facility | $35.90 | $35.90 | $35.90 | |
Cigna
| Professional | $20.65 | $32.64 | $40.79 | |
Medica
| Facility | $17.17 | $32.90 | $135.94 | |
Medica
| Professional | $10.76 | $12.55 | $25.06 | |
Midlands
| Facility | $15.55 | $36.54 | $51.04 | |
Midlands
| Professional | $15.55 | $30.08 | $48.77 | |
Sanford Health Plan
| Professional | $26.80 | $41.87 | $49.26 | |
United
| Professional | $7.53 | $12.55 | $21.52 | |
Wellmark
| Professional | $17.93 | $17.93 | $17.93 |