| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $69.18 | $234.42 | |
Aetna
| Professional | $67.61 | $72.44 | $117.49 | |
Cigna
| Professional | $79.43 | $79.43 | $97.72 | |
Medica
| Facility | $81.28 | $117.49 | $190.55 | |
Medica
| Professional | $66.07 | $85.11 | $85.11 | |
Midlands
| Professional | $95.50 | $95.50 | $95.50 | |
Sanford Health Plan
| Professional | $77.62 | $77.62 | $77.62 | |
United
| Professional | $81.28 | $85.11 | $87.10 | |
Wellmark
| Facility | $67.61 | $67.61 | $67.61 |