| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.32 | $57.05 | $263.98 | |
Aetna
| Professional | $25.55 | $35.60 | $57.05 | |
Cigna
| Professional | $54.44 | $69.58 | $136.09 | |
Medica
| Facility | $37.75 | $69.47 | $118.96 | |
Medica
| Professional | $41.73 | $49.09 | $318.22 | |
Midlands
| Facility | $40.01 | $63.80 | $106.63 | |
Midlands
| Professional | $32.70 | $58.49 | $89.31 | |
Sanford Health Plan
| Professional | $43.44 | $69.45 | $100.27 | |
United
| Professional | $41.73 | $45.84 | $94.01 | |
Wellmark
| Professional | $32.90 | $42.10 | $82.60 |