| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.77 | $391.77 | $391.77 | |
Aetna
| Professional | $279.24 | $325.08 | $391.77 | |
Cigna
| Facility | $831.01 | $831.01 | $831.01 | |
Cigna
| Professional | $585.53 | $756.60 | $945.74 | |
Medica
| Facility | $393.35 | $471.92 | $1,021.42 | |
Medica
| Professional | $250.07 | $291.58 | $857.58 | |
Midlands
| Facility | $537.84 | $913.41 | $1,136.29 | |
Midlands
| Professional | $500.14 | $849.13 | $1,087.80 | |
Sanford Health Plan
| Professional | $596.00 | $1,004.15 | $1,144.98 | |
United
| Professional | $175.05 | $291.58 | $416.78 | |
Wellmark
| Professional | $416.78 | $416.78 | $416.78 |