| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.64 | $96.88 | $703.70 | |
Aetna
| Professional | $16.86 | $21.84 | $96.30 | |
Cigna
| Facility | $48.31 | $48.31 | $48.31 | |
Cigna
| Professional | $27.67 | $43.74 | $54.67 | |
Medica
| Facility | $26.02 | $55.96 | $114.38 | |
Medica
| Professional | $14.45 | $15.32 | $34.11 | |
Midlands
| Facility | $31.08 | $49.06 | $57.57 | |
Midlands
| Professional | $31.08 | $53.51 | $69.01 | |
Sanford Health Plan
| Professional | $35.76 | $58.02 | $66.15 | |
United
| Professional | $10.11 | $15.32 | $28.90 | |
Wellmark
| Professional | $24.08 | $24.08 | $24.08 |