| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.23 | $55.23 | $55.99 | |
Aetna
| Professional | $49.87 | $52.17 | $78.37 | |
Cigna
| Professional | $82.95 | $101.95 | $127.37 | |
Medica
| Facility | $46.60 | $69.98 | $119.72 | |
Medica
| Professional | $53.31 | $110.93 | $332.01 | |
Midlands
| Facility | $99.03 | $120.24 | $132.22 | |
Midlands
| Professional | $103.55 | $111.16 | $135.71 | |
Sanford Health Plan
| Professional | $58.61 | $81.94 | $98.89 | |
United
| Professional | $53.31 | $92.97 | $112.41 | |
Wellmark
| Professional | $99.40 | $121.60 | $123.30 |