| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $91.20 | $158.49 | |
Aetna
| Professional | $89.13 | $134.90 | $281.84 | |
Cigna
| Professional | $213.80 | $218.78 | $263.03 | |
Medica
| Facility | $114.82 | $134.90 | $239.88 | |
Medica
| Professional | $93.33 | $186.21 | $707.95 | |
Midlands
| Professional | $169.82 | $199.53 | $199.53 | |
Sanford Health Plan
| Professional | $120.23 | $190.55 | $229.09 | |
United
| Professional | $91.20 | $173.78 | $257.04 | |
Wellmark
| Professional | $194.98 | $194.98 | $199.53 |