| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.43 | $11.43 | $11.43 | |
Cigna
| Professional | $16.93 | $26.76 | $33.46 | |
Medica
| Facility | $8.36 | $16.60 | $23.27 | |
Medica
| Professional | $6.58 | $14.80 | $100.00 | |
Midlands
| Facility | $15.00 | $19.05 | $37.50 | |
Midlands
| Professional | $12.00 | $26.37 | $30.18 | |
Sanford Health Plan
| Professional | $9.86 | $30.00 | $40.25 | |
United
| Professional | $8.78 | $8.78 | $16.44 | |
Wellmark
| Professional | $14.65 | $14.65 | $14.65 |