| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $158.49 | $691.83 | |
Aetna
| Professional | $138.04 | $204.17 | $457.09 | |
Cigna
| Professional | $309.03 | $354.81 | $389.05 | |
Medica
| Facility | $169.82 | $229.09 | $371.54 | |
Medica
| Professional | $173.78 | $302.00 | $1,202.26 | |
Midlands
| Professional | $251.19 | $389.05 | $389.05 | |
Sanford Health Plan
| Professional | $223.87 | $316.23 | $354.81 | |
United
| Professional | $173.78 | $309.03 | $407.38 | |
Wellmark
| Professional | $281.84 | $281.84 | $295.12 |