| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.95 | $14.95 | $15.19 | |
Aetna
| Professional | $12.94 | $15.19 | $21.12 | |
Cigna
| Professional | $17.75 | $22.19 | $36.94 | |
Medica
| Facility | $14.07 | $20.50 | $25.67 | |
Medica
| Professional | $20.70 | $136.29 | $138.46 | |
Midlands
| Facility | $26.50 | $32.76 | $46.83 | |
Midlands
| Professional | $26.50 | $33.25 | $37.86 | |
Sanford Health Plan
| Professional | $24.75 | $27.22 | $46.70 | |
United
| Professional | $19.50 | $20.70 | $41.40 | |
Wellmark
| Professional | $26.70 | $31.40 | $34.10 |