| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.28 | $13.28 | $13.28 | |
Aetna
| Professional | $11.10 | $12.22 | $21.19 | |
Cigna
| Facility | $28.07 | $28.07 | $28.07 | |
Cigna
| Professional | $16.52 | $26.11 | $32.64 | |
Medica
| Facility | $13.54 | $19.22 | $80.54 | |
Medica
| Professional | $8.38 | $12.72 | $24.66 | |
Midlands
| Facility | $18.23 | $25.92 | $43.59 | |
Midlands
| Professional | $13.00 | $26.63 | $36.88 | |
Sanford Health Plan
| Professional | $19.73 | $32.99 | $38.82 | |
United
| Professional | $5.93 | $8.48 | $16.96 | |
Wellmark
| Professional | $14.13 | $14.13 | $14.13 |