| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $141.25 | $245.47 | |
Aetna
| Professional | $117.49 | $154.88 | $257.04 | |
Cigna
| Professional | $331.13 | $380.19 | $407.38 | |
Medica
| Facility | $165.96 | $229.09 | $371.54 | |
Medica
| Professional | $144.54 | $213.80 | $346.74 | |
Midlands
| Professional | $316.23 | $316.23 | $316.23 | |
Sanford Health Plan
| Professional | $181.97 | $275.42 | $346.74 | |
United
| Professional | $144.54 | $288.40 | $398.11 |