| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $56.23 | $63.10 | |
Aetna
| Professional | $40.74 | $51.29 | $61.66 | |
Cigna
| Professional | $97.72 | $120.23 | $154.88 | |
Medica
| Facility | $42.66 | $60.26 | $109.65 | |
Medica
| Professional | $60.26 | $125.89 | $426.58 | |
Midlands
| Professional | $77.62 | $109.65 | $131.83 | |
Sanford Health Plan
| Professional | $66.07 | $87.10 | $131.83 | |
United
| Professional | $64.57 | $104.71 | $144.54 | |
Wellmark
| Professional | $64.57 | $77.62 | $100.00 |