| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $15.85 | $30.20 | |
Cigna
| Professional | $20.42 | $25.70 | $42.66 | |
Medica
| Facility | $16.98 | $20.89 | $39.81 | |
Medica
| Professional | $9.12 | $15.14 | $478.63 | |
Sanford Health Plan
| Professional | $17.78 | $43.65 | $50.12 | |
United
| Professional | $9.12 | $11.48 | $26.30 | |
Wellmark
| Professional | $18.20 | $18.20 | $18.20 |