| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $43.65 | $56.23 | |
Cigna
| Professional | $75.86 | $85.11 | $102.33 | |
Medica
| Facility | $42.66 | $64.57 | $213.80 | |
Medica
| Professional | $66.07 | $87.10 | $107.15 | |
Midlands
| Professional | $66.07 | $83.18 | $104.71 | |
Sanford Health Plan
| Professional | $54.95 | $67.61 | $87.10 | |
United
| Professional | $64.57 | $91.20 | $123.03 | |
Wellmark
| Professional | $64.57 | $64.57 | $66.07 |