| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.85 | $15.56 | $22.23 | |
Cigna
| Professional | $12.37 | $26.33 | $36.46 | |
Medica
| Facility | $10.97 | $14.78 | $24.56 | |
Medica
| Professional | $13.80 | $24.62 | $98.45 | |
Midlands
| Facility | $30.27 | $33.14 | $38.21 | |
Midlands
| Professional | $30.70 | $32.81 | $39.49 | |
Sanford Health Plan
| Professional | $16.69 | $23.65 | $31.88 | |
United
| Professional | $13.01 | $17.52 | $29.47 | |
Wellmark
| Professional | $26.50 | $28.30 | $34.70 |