| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.68 | $217.68 | $222.24 | |
Aetna
| Professional | $198.96 | $206.69 | $316.66 | |
Cigna
| Professional | $342.67 | $422.23 | $527.79 | |
Medica
| Facility | $190.87 | $277.99 | $470.95 | |
Medica
| Professional | $210.69 | $438.40 | $1,299.72 | |
Midlands
| Facility | $393.52 | $466.07 | $512.53 | |
Midlands
| Professional | $405.72 | $432.30 | $530.83 | |
Sanford Health Plan
| Professional | $236.42 | $334.34 | $401.08 | |
United
| Professional | $231.76 | $377.69 | $444.34 | |
Wellmark
| Professional | $405.70 | $496.40 | $506.20 |