| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.19 | $67.65 | $76.98 | |
Cigna
| Professional | $78.44 | $128.97 | $161.22 | |
Medica
| Facility | $69.08 | $108.38 | $143.38 | |
Medica
| Professional | $83.51 | $129.06 | $464.35 | |
Midlands
| Facility | $105.29 | $138.91 | $147.50 | |
Midlands
| Professional | $105.29 | $127.18 | $155.59 | |
Sanford Health Plan
| Professional | $92.53 | $124.12 | $161.13 | |
United
| Professional | $83.51 | $124.52 | $149.22 | |
Wellmark
| Professional | $145.80 | $150.10 | $150.10 |