| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $72.44 | $72.44 | |
Aetna
| Professional | $6.76 | $8.91 | $70.79 | |
Cigna
| Facility | $19.95 | $19.95 | $19.95 | |
Cigna
| Professional | $12.02 | $19.95 | $25.12 | |
Medica
| Facility | $9.77 | $15.49 | $37.15 | |
Medica
| Professional | $6.17 | $6.76 | $14.45 | |
Sanford Health Plan
| Professional | $15.85 | $25.12 | $28.18 | |
United
| Professional | $4.37 | $6.92 | $17.78 | |
Wellmark
| Professional | $10.23 | $10.23 | $10.23 |