| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $977.24 | $1,949.84 | |
Cigna
| Professional | $28.84 | $36.31 | $60.26 | |
Medica
| Facility | $26.92 | $38.90 | $141.25 | |
Medica
| Professional | $13.49 | $41.69 | $478.63 | |
Sanford Health Plan
| Professional | $33.11 | $43.65 | $87.10 | |
United
| Professional | $13.49 | $20.42 | $67.61 | |
Wellmark
| Professional | $40.74 | $47.86 | $48.98 |