| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $758.58 | $2,290.87 | |
Aetna
| Professional | $21.88 | $40.74 | $134.90 | |
Cigna
| Professional | $48.98 | $72.44 | $120.23 | |
Medica
| Facility | $32.36 | $60.26 | $102.33 | |
Medica
| Professional | $21.38 | $39.81 | $380.19 | |
Midlands
| Professional | $19.05 | $29.51 | $54.95 | |
Midlands
| Professional | $29.51 | $29.51 | $52.48 | |
Sanford Health Plan
| Professional | $39.81 | $56.23 | $97.72 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $9.33 | $24.55 | $54.95 | |
Wellmark
| Professional | $30.20 | $38.02 | $70.79 |