| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $64.57 | $302.00 | |
Aetna
| Professional | $7.76 | $10.72 | $138.04 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $13.49 | $22.91 | $28.18 | |
Medica
| Facility | $11.22 | $18.62 | $79.43 | |
Medica
| Professional | $6.17 | $8.32 | $16.60 | |
Sanford Health Plan
| Professional | $19.50 | $28.84 | $33.11 | |
United
| Professional | $5.01 | $8.32 | $20.89 | |
Wellmark
| Professional | $12.02 | $12.02 | $12.02 |