| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.39 | $266.39 | $271.72 | |
Aetna
| Professional | $246.09 | $266.39 | $325.31 | |
Cigna
| Professional | $419.70 | $517.14 | $646.42 | |
Medica
| Facility | $234.03 | $340.04 | $576.53 | |
Medica
| Professional | $260.77 | $542.61 | $1,596.18 | |
Midlands
| Facility | $478.08 | $577.72 | $635.30 | |
Midlands
| Professional | $501.06 | $531.02 | $649.89 | |
Sanford Health Plan
| Professional | $289.95 | $410.78 | $492.94 | |
United
| Professional | $260.77 | $455.17 | $549.92 | |
Wellmark
| Professional | $498.40 | $609.90 | $622.10 |