| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.25 | $83.25 | $123.82 | |
Aetna
| Professional | $68.63 | $82.53 | $123.82 | |
Cigna
| Professional | $230.52 | $247.62 | $309.52 | |
Medica
| Facility | $71.75 | $103.45 | $177.50 | |
Medica
| Professional | $95.89 | $163.84 | $830.18 | |
Midlands
| Facility | $130.52 | $172.79 | $250.13 | |
Midlands
| Professional | $99.86 | $149.76 | $221.64 | |
Sanford Health Plan
| Professional | $105.31 | $158.35 | $249.12 | |
United
| Professional | $101.61 | $174.40 | $206.98 | |
Wellmark
| Professional | $108.20 | $131.10 | $198.40 |