| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $22.91 | |
Aetna
| Professional | $12.88 | $15.14 | $23.99 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $22.91 | $38.90 | $47.86 | |
Medica
| Facility | $19.05 | $22.91 | $74.13 | |
Medica
| Professional | $12.02 | $14.13 | $28.18 | |
Sanford Health Plan
| Professional | $28.84 | $48.98 | $54.95 | |
United
| Professional | $8.51 | $14.13 | $34.67 | |
Wellmark
| Professional | $20.42 | $20.42 | $20.42 |