| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $43.65 | $57.54 | |
Cigna
| Professional | $83.18 | $91.20 | $112.20 | |
Medica
| Facility | $46.77 | $83.18 | $223.87 | |
Medica
| Professional | $70.79 | $89.13 | $107.15 | |
Midlands
| Professional | $70.79 | $83.18 | $104.71 | |
Sanford Health Plan
| Professional | $60.26 | $70.79 | $95.50 | |
United
| Professional | $69.18 | $91.20 | $134.90 | |
Wellmark
| Professional | $69.18 | $69.18 | $72.44 |