| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $380.19 | $776.25 | |
Aetna
| Professional | $23.44 | $41.69 | $120.23 | |
Cigna
| Professional | $51.29 | $72.44 | $117.49 | |
Medica
| Facility | $34.67 | $57.54 | $120.23 | |
Medica
| Professional | $35.48 | $39.81 | $269.15 | |
Midlands
| Professional | $30.20 | $44.67 | $72.44 | |
Midlands
| Professional | $29.51 | $29.51 | $50.12 | |
Sanford Health Plan
| Professional | $39.81 | $58.88 | $83.18 | |
United
| Professional | $21.38 | $35.48 | $63.10 | |
Wellmark
| Professional | $30.20 | $38.90 | $69.18 |