| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $338.84 | $338.84 | |
Aetna
| Professional | $295.12 | $338.84 | $562.34 | |
Cigna
| Professional | $549.54 | $660.69 | $831.76 | |
Medica
| Facility | $295.12 | $416.87 | $724.44 | |
Medica
| Professional | $323.59 | $575.44 | $7,585.78 | |
Midlands
| Professional | $630.96 | $676.08 | $776.25 | |
Midlands
| Professional | $660.69 | $660.69 | $676.08 | |
Sanford Health Plan
| Professional | $363.08 | $512.86 | $676.08 | |
United
| Professional | $323.59 | $549.54 | $691.83 | |
Wellmark
| Professional | $630.96 | $758.58 | $776.25 |