| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $20.89 | $38.02 | |
Cigna
| Professional | $26.30 | $33.11 | $54.95 | |
Medica
| Facility | $26.30 | $36.31 | $77.62 | |
Medica
| Professional | $13.80 | $22.91 | $165.96 | |
Sanford Health Plan
| Professional | $33.11 | $54.95 | $63.10 | |
United
| Professional | $13.80 | $22.39 | $50.12 | |
Wellmark
| Professional | $22.91 | $22.91 | $22.91 |