| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $50.12 | $54.95 | |
Aetna
| Professional | $38.02 | $45.71 | $53.70 | |
Cigna
| Professional | $109.65 | $112.20 | $138.04 | |
Medica
| Facility | $39.81 | $52.48 | $97.72 | |
Medica
| Professional | $53.70 | $112.20 | $380.19 | |
Midlands
| Professional | $72.44 | $100.00 | $117.49 | |
Sanford Health Plan
| Professional | $58.88 | $79.43 | $114.82 | |
United
| Professional | $63.10 | $100.00 | $128.82 | |
Wellmark
| Professional | $58.88 | $72.44 | $87.10 |