| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.37 | $26.37 | $26.37 | |
Cigna
| Professional | $43.14 | $58.41 | $87.00 | |
Medica
| Professional | $21.38 | $62.67 | $213.96 | |
Midlands
| Facility | 26 | $75.94 | $75.94 | $75.94 |
Midlands
| Professional | $58.23 | $58.32 | $73.40 | |
Sanford Health Plan
| Professional | $48.23 | $61.46 | $69.62 | |
Sanford Health Plan
| Professional | 26 | $37.61 | $47.94 | $53.38 |
United
| Professional | $19.77 | $21.38 | $68.59 | |
Wellmark
| Professional | $56.70 | $73.00 | $78.50 |