| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.02 | $57.22 | $76.30 | |
Aetna
| Professional | $54.72 | $69.42 | $90.78 | |
Cigna
| Professional | $79.95 | $96.06 | $150.94 | |
Medica
| Facility | $62.79 | $76.30 | $128.94 | |
Medica
| Professional | $77.02 | $150.30 | $491.49 | |
Midlands
| Facility | $149.15 | $168.35 | $190.65 | |
Midlands
| Professional | $154.71 | $166.29 | $198.17 | |
Sanford Health Plan
| Professional | $76.47 | $95.93 | $145.55 | |
United
| Professional | $75.91 | $86.06 | $176.82 | |
Wellmark
| Professional | $107.20 | $126.10 | $149.80 |