| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.59 | $22.59 | $414.21 | |
Aetna
| Professional | $22.59 | $159.31 | $490.27 | |
Cigna
| Professional | $41.87 | $52.34 | $889.82 | |
Medica
| Facility | $29.07 | $268.12 | $700.01 | |
Medica
| Professional | $35.53 | $137.34 | $2,483.07 | |
Midlands
| Facility | $30.69 | $486.78 | $826.42 | |
Midlands
| Professional | $26.09 | $77.26 | $646.20 | |
Sanford Health Plan
| Professional | $30.38 | $371.40 | $646.25 | |
United
| Professional | $35.53 | $306.93 | $342.85 | |
Wellmark
| Professional | $26.20 | $33.60 | $532.50 |