| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $275.39 | |
Aetna
| Professional | $275.39 | $275.39 | $302.93 | |
Cigna
| Professional | $270.00 | $272.70 | $337.50 | |
Medica
| Facility | $324.00 | $465.43 | $754.60 | |
Medica
| Professional | $229.50 | $272.07 | $297.00 | |
Sanford Health Plan
| Professional | $275.39 | $275.39 | $275.39 | |
United
| Professional | $272.07 | $272.07 | $279.49 | |
Wellmark
| Facility | $270.00 | $270.00 | $270.00 | |
Wellmark
| Professional | $270.00 | $270.00 | $270.00 |