| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $218.78 | $223.87 | |
Aetna
| Professional | $186.21 | $218.78 | $457.09 | |
Cigna
| Professional | $354.81 | $436.52 | $549.54 | |
Medica
| Facility | $190.55 | $275.42 | $467.74 | |
Medica
| Professional | $208.93 | $371.54 | $1,288.25 | |
Midlands
| Professional | $407.38 | $436.52 | $512.86 | |
Midlands
| Professional | $426.58 | $426.58 | $436.52 | |
Sanford Health Plan
| Professional | $234.42 | $331.13 | $446.68 | |
United
| Professional | $208.93 | $354.81 | $446.68 | |
Wellmark
| Professional | $407.38 | $501.19 | $501.19 |