| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.92 | $58.47 | $66.89 | |
Cigna
| Professional | $67.97 | $111.95 | $139.93 | |
Medica
| Facility | $60.06 | $93.84 | $125.45 | |
Medica
| Professional | $72.30 | $111.74 | $404.24 | |
Midlands
| Facility | $91.22 | $120.26 | $127.72 | |
Midlands
| Professional | $91.22 | $110.92 | $134.74 | |
Sanford Health Plan
| Professional | $79.98 | $108.11 | $139.61 | |
United
| Professional | $72.30 | $111.59 | $137.32 | |
Wellmark
| Professional | $126.30 | $130.10 | $130.10 |