| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $30.90 | $36.31 | |
Aetna
| Professional | $25.12 | $33.88 | $50.12 | |
Cigna
| Professional | $72.44 | $83.18 | $91.20 | |
Medica
| Facility | $42.66 | $50.12 | $81.28 | |
Medica
| Professional | $38.02 | $57.54 | $93.33 | |
Midlands
| Professional | $83.18 | $83.18 | $83.18 | |
Sanford Health Plan
| Professional | $46.77 | $66.07 | $77.62 | |
United
| Professional | $39.81 | $74.13 | $93.33 |