| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.55 | $374.36 | $614.66 | |
Aetna
| Professional | $258.54 | $335.55 | $382.70 | |
Cigna
| Professional | $287.63 | $290.50 | $359.53 | |
Medica
| Facility | $320.01 | $448.49 | $859.35 | |
Medica
| Professional | $338.37 | $338.37 | $338.37 | |
Midlands
| Facility | $318.85 | $318.85 | $318.85 | |
Midlands
| Professional | $318.85 | $318.85 | $318.85 | |
Sanford Health Plan
| Professional | $335.55 | $335.55 | $335.55 | |
United
| Professional | $362.00 | $362.00 | $371.87 | |
Wellmark
| Facility | $307.61 | $307.61 | $307.61 | |
Wellmark
| Professional | $307.61 | $307.61 | $307.61 |