| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $33.88 | $33.88 | |
Aetna
| Professional | $25.12 | $30.90 | $39.81 | |
Cigna
| Professional | $57.54 | $69.18 | $87.10 | |
Medica
| Facility | $24.55 | $33.11 | $74.13 | |
Medica
| Professional | $26.30 | $47.86 | $194.98 | |
Sanford Health Plan
| Professional | $30.90 | $46.77 | $61.66 | |
United
| Professional | $26.30 | $47.86 | $75.86 | |
Wellmark
| Professional | $60.26 | $63.10 | $74.13 |