| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.50 | $48.50 | $61.18 | |
Aetna
| Professional | $39.43 | $50.21 | $71.56 | |
Cigna
| Professional | $108.85 | $118.10 | $145.26 | |
Medica
| Facility | $41.72 | $58.34 | $103.39 | |
Medica
| Professional | $70.33 | $115.60 | $389.46 | |
Midlands
| Facility | $66.56 | $97.10 | $121.05 | |
Midlands
| Professional | $67.92 | $97.14 | $121.05 | |
Sanford Health Plan
| Professional | $57.76 | $80.84 | $122.61 | |
United
| Professional | $72.81 | $111.90 | $125.23 | |
Wellmark
| Professional | $59.10 | $71.70 | $93.10 |