| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $43.65 | |
Aetna
| Professional | $25.12 | $36.31 | $70.79 | |
Cigna
| Professional | $81.28 | $89.13 | $109.65 | |
Medica
| Facility | $26.30 | $38.02 | $70.79 | |
Medica
| Professional | $33.88 | $69.18 | $302.00 | |
Midlands
| Professional | $48.98 | $48.98 | $69.18 | |
Sanford Health Plan
| Professional | $40.74 | $57.54 | $91.20 | |
United
| Professional | $33.88 | $56.23 | $93.33 | |
Wellmark
| Professional | $40.74 | $50.12 | $69.18 |