| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $61.66 | $72.44 | |
Aetna
| Professional | $50.12 | $70.79 | $97.72 | |
Cigna
| Professional | $144.54 | $165.96 | $181.97 | |
Medica
| Facility | $85.11 | $100.00 | $162.18 | |
Medica
| Professional | $75.86 | $117.49 | $190.55 | |
Midlands
| Professional | $169.82 | $169.82 | $169.82 | |
Sanford Health Plan
| Professional | $93.33 | $131.83 | $154.88 | |
United
| Professional | $79.43 | $151.36 | $190.55 |