| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.08 | $184.43 | $769.21 | |
Aetna
| Professional | $23.76 | $37.71 | $120.15 | |
Cigna
| Professional | $49.67 | $62.81 | $114.28 | |
Medica
| Facility | $35.11 | $58.88 | $99.69 | |
Medica
| Professional | $35.33 | $44.38 | $268.44 | |
Midlands
| Facility | $36.94 | $54.20 | $90.06 | |
Midlands
| Professional | $30.22 | $52.58 | $82.46 | |
Sanford Health Plan
| Professional | $40.14 | $59.80 | $84.10 | |
United
| Professional | $35.33 | $38.65 | $79.72 | |
Wellmark
| Professional | $30.40 | $38.90 | $69.30 |