| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.43 | $60.66 | $975.04 | |
Aetna
| Professional | $42.43 | $72.14 | $216.50 | |
Cigna
| Professional | $77.70 | $99.45 | $145.69 | |
Medica
| Facility | $39.11 | $80.92 | $136.68 | |
Medica
| Professional | $57.48 | $118.46 | $693.25 | |
Midlands
| Facility | $85.90 | $106.32 | $141.66 | |
Midlands
| Professional | $80.91 | $109.49 | $148.93 | |
Sanford Health Plan
| Professional | $56.91 | $76.33 | $109.97 | |
United
| Professional | $57.48 | $97.72 | $119.60 | |
Wellmark
| Professional | $78.70 | $96.30 | $138.80 |