| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.89 | $45.89 | $65.36 | |
Aetna
| Professional | $35.75 | $44.72 | $65.36 | |
Cigna
| Professional | $123.48 | $132.63 | $165.79 | |
Medica
| Facility | $37.29 | $58.92 | $97.94 | |
Medica
| Professional | $48.15 | $79.33 | $435.65 | |
Midlands
| Facility | $68.70 | $95.41 | $131.51 | |
Midlands
| Professional | $50.27 | $82.56 | $111.60 | |
Sanford Health Plan
| Professional | $55.62 | $84.62 | $131.85 | |
United
| Professional | $51.00 | $81.13 | $108.35 | |
Wellmark
| Professional | $58.70 | $71.20 | $106.30 |