| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.46 | $37.46 | $62.91 | |
Aetna
| Professional | $34.49 | $53.84 | $62.91 | |
Cigna
| Professional | $67.84 | $88.98 | $151.79 | |
Medica
| Facility | $32.97 | $58.49 | $121.66 | |
Medica
| Professional | $51.88 | $103.41 | $514.16 | |
Midlands
| Facility | $77.09 | $91.67 | $135.16 | |
Midlands
| Professional | $69.54 | $97.11 | $130.61 | |
Sanford Health Plan
| Professional | $53.05 | $71.16 | $110.93 | |
United
| Professional | $57.07 | $100.08 | $129.69 | |
Wellmark
| Professional | $73.40 | $89.80 | $147.00 |