| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.92 | $166.92 | $169.20 | |
Aetna
| Professional | $151.00 | $166.11 | $251.81 | |
Cigna
| Professional | $266.20 | $328.01 | $410.02 | |
Medica
| Facility | $148.22 | $211.95 | $361.46 | |
Medica
| Professional | $158.72 | $330.29 | $978.66 | |
Midlands
| Facility | $305.00 | $353.67 | $393.20 | |
Midlands
| Professional | $308.97 | $328.42 | $407.14 | |
Sanford Health Plan
| Professional | $184.38 | $261.20 | $312.45 | |
United
| Professional | $158.72 | $284.56 | $334.78 | |
Wellmark
| Professional | $316.89 | $387.80 | $394.30 |