| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.44 | $1,257.88 | $1,334.58 | |
Aetna
| Professional | $220.89 | $530.30 | $1,380.60 | |
Cigna
| Facility | $831.01 | $831.01 | $831.01 | |
Cigna
| Professional | $585.53 | $756.60 | $945.74 | |
Medica
| Facility | $399.31 | $558.90 | $1,190.26 | |
Medica
| Professional | $250.07 | $291.58 | $857.58 | |
Midlands
| Facility | $537.84 | $913.41 | $1,148.68 | |
Midlands
| Professional | $500.14 | $849.13 | $1,087.80 | |
Sanford Health Plan
| Professional | $680.62 | $1,004.15 | $1,144.98 | |
United
| Professional | $175.05 | $291.58 | $416.78 | |
Wellmark
| Professional | $416.78 | $416.78 | $416.78 |