| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.56 | $218.56 | $222.74 | |
Aetna
| Professional | $198.21 | $206.48 | $323.38 | |
Cigna
| Professional | $355.51 | $421.53 | $526.91 | |
Medica
| Facility | $191.32 | $278.56 | $472.83 | |
Medica
| Professional | $208.89 | $438.67 | $2,520.00 | |
Midlands
| Facility | $393.11 | $465.30 | $512.13 | |
Midlands
| Professional | $404.36 | $432.36 | $533.24 | |
Sanford Health Plan
| Professional | $237.20 | $335.44 | $401.08 | |
United
| Professional | $229.78 | $377.62 | $440.56 | |
Wellmark
| Professional | $407.00 | $498.00 | $506.20 |