| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.00 | $49.82 | $101.85 | |
Aetna
| Professional | $45.22 | $45.23 | $56.98 | |
Cigna
| Professional | $40.60 | $64.17 | $80.20 | |
Medica
| Facility | $41.87 | $76.44 | $385.45 | |
Medica
| Professional | $22.88 | $35.33 | $67.29 | |
Midlands
| Facility | $42.40 | $75.23 | $84.00 | |
Midlands
| Professional | $42.44 | $78.12 | $118.39 | |
Sanford Health Plan
| Professional | $35.33 | $85.12 | $97.06 | |
United
| Professional | $14.84 | $27.07 | $45.11 | |
Wellmark
| Professional | $35.33 | $35.33 | $35.33 |