| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.97 | $158.84 | $176.13 | |
Aetna
| Professional | $22.81 | $35.09 | $194.91 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $49.00 | $63.32 | $79.15 | |
Medica
| Facility | $33.61 | $55.74 | $133.05 | |
Medica
| Professional | $21.05 | $31.58 | $110.70 | |
Midlands
| Facility | $45.28 | $76.90 | $96.74 | |
Midlands
| Professional | $42.11 | $71.48 | $91.58 | |
Sanford Health Plan
| Professional | $57.31 | $84.54 | $96.40 | |
United
| Professional | $14.74 | $24.55 | $46.32 | |
Wellmark
| Professional | $35.09 | $35.09 | $35.09 |