| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.24 | $409.78 | $426.20 | |
Aetna
| Professional | $34.53 | $45.88 | $96.24 | |
Cigna
| Professional | $65.59 | $66.55 | $82.00 | |
Medica
| Facility | $41.64 | $122.79 | $302.22 | |
Medica
| Professional | $30.99 | $74.48 | $568.98 | |
Midlands
| Facility | $46.85 | $103.51 | $197.73 | |
Midlands
| Professional | $28.00 | $94.14 | $165.75 | |
Sanford Health Plan
| Professional | $68.65 | $68.65 | $68.65 | |
United
| Professional | $30.99 | $76.70 | $106.75 | |
Wellmark
| Professional | $198.70 | $198.70 | $198.70 |