| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.37 | $18.37 | $41.92 | |
Aetna
| Professional | $16.89 | $34.09 | $41.92 | |
Cigna
| Professional | $33.32 | $44.89 | $102.94 | |
Medica
| Facility | $16.16 | $38.04 | $73.03 | |
Medica
| Professional | $31.79 | $63.58 | $251.37 | |
Midlands
| Facility | $37.47 | $55.33 | $88.93 | |
Midlands
| Professional | $34.15 | $48.04 | $81.72 | |
Sanford Health Plan
| Professional | $25.56 | $45.97 | $73.14 | |
United
| Professional | $29.90 | $59.36 | $77.90 | |
Wellmark
| Professional | $35.40 | $43.30 | $97.20 |