| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $35.48 | $36.31 | |
Aetna
| Professional | $7.94 | $10.47 | $30.90 | |
Cigna
| Facility | $21.88 | $21.88 | $21.88 | |
Cigna
| Professional | $13.18 | $21.88 | $27.54 | |
Medica
| Facility | $10.96 | $17.78 | $50.12 | |
Medica
| Professional | $6.92 | $8.13 | $16.22 | |
Sanford Health Plan
| Professional | $18.62 | $27.54 | $31.62 | |
United
| Professional | $4.79 | $8.13 | $19.95 | |
Wellmark
| Professional | $11.48 | $11.48 | $11.48 |