| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.36 | $34.36 | $47.41 | |
Aetna
| Professional | $27.84 | $37.86 | $55.03 | |
Cigna
| Professional | $88.36 | $96.05 | $118.64 | |
Medica
| Facility | $29.93 | $44.10 | $80.12 | |
Medica
| Professional | $54.08 | $88.90 | $298.80 | |
Midlands
| Facility | $48.01 | $70.64 | $92.79 | |
Midlands
| Professional | $47.91 | $68.86 | $92.79 | |
Sanford Health Plan
| Professional | $41.14 | $60.14 | $95.88 | |
United
| Professional | $55.70 | $88.90 | $96.72 | |
Wellmark
| Professional | $42.60 | $51.70 | $76.00 |