| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $36.31 | |
Aetna
| Professional | $17.78 | $33.11 | $52.48 | |
Cigna
| Professional | $34.67 | $34.67 | $43.65 | |
Medica
| Facility | $36.31 | $51.29 | $83.18 | |
Medica
| Professional | $28.84 | $38.02 | $38.02 | |
Midlands
| Professional | $41.69 | $41.69 | $41.69 | |
Sanford Health Plan
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Professional | $33.88 | $38.02 | $38.90 | |
Wellmark
| Facility | $30.20 | $30.20 | $30.20 |