| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $14.45 | |
Aetna
| Professional | $7.94 | $8.91 | $15.14 | |
Cigna
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $14.45 | $23.99 | $30.20 | |
Medica
| Facility | $12.02 | $18.62 | $45.71 | |
Medica
| Professional | $7.59 | $8.32 | $16.60 | |
Sanford Health Plan
| Professional | $19.50 | $30.20 | $34.67 | |
United
| Professional | $5.37 | $8.32 | $20.89 | |
Wellmark
| Professional | $12.59 | $12.59 | $12.59 |