| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $16.22 | |
Aetna
| Professional | $15.85 | $15.85 | $27.54 | |
Cigna
| Professional | $12.88 | $12.88 | $15.85 | |
Medica
| Facility | $23.44 | $27.54 | $44.67 | |
Medica
| Professional | $11.48 | $14.79 | $14.79 | |
Midlands
| Professional | $21.88 | $21.88 | $21.88 | |
Sanford Health Plan
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Professional | $12.88 | $14.79 | $16.98 |