| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.98 | $2,219.71 | $2,219.71 | |
Aetna
| Professional | $146.10 | $204.98 | $204.98 | |
Cigna
| Professional | $250.69 | $396.25 | $495.31 | |
Medica
| Facility | $205.81 | $246.91 | $1,035.79 | |
Medica
| Professional | $111.21 | $196.25 | $327.08 | |
Midlands
| Facility | $261.67 | $381.61 | $444.35 | |
Midlands
| Professional | $261.67 | $365.92 | $444.35 | |
Sanford Health Plan
| Professional | $218.06 | $525.37 | $599.04 | |
United
| Professional | $91.59 | $111.21 | $261.67 | |
Wellmark
| Professional | $218.06 | $218.06 | $218.06 |