| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.47 | $31.01 | $41.34 | |
Aetna
| Professional | $22.82 | $32.39 | $47.29 | |
Cigna
| Professional | $60.12 | $100.97 | $126.22 | |
Medica
| Facility | $26.37 | $44.23 | $65.06 | |
Medica
| Professional | $69.59 | $266.08 | $321.17 | |
Midlands
| Facility | $56.74 | $79.58 | $109.95 | |
Midlands
| Professional | $48.93 | $70.56 | $90.35 | |
Sanford Health Plan
| Professional | $49.68 | $64.83 | $97.12 | |
United
| Professional | $62.40 | $91.38 | $91.46 | |
Wellmark
| Professional | $51.50 | $62.40 | $79.90 |