| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.67 | $15.67 | $15.91 | |
Aetna
| Professional | $14.06 | $17.79 | $22.42 | |
Cigna
| Professional | $18.32 | $22.90 | $38.13 | |
Medica
| Facility | $15.67 | $21.24 | $33.82 | |
Medica
| Professional | $21.67 | $39.61 | $142.72 | |
Midlands
| Facility | $27.33 | $27.74 | $48.27 | |
Midlands
| Professional | $27.33 | $34.29 | $39.61 | |
Sanford Health Plan
| Professional | $25.62 | $28.06 | $43.34 | |
United
| Professional | $20.42 | $21.67 | $28.90 | |
Wellmark
| Professional | $27.50 | $32.29 | $35.70 |