| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.21 | $57.90 | $86.52 | |
Aetna
| Professional | $29.26 | $44.67 | $65.75 | |
Cigna
| Professional | $102.28 | $113.77 | $142.21 | |
Medica
| Facility | $37.96 | $53.36 | $101.60 | |
Medica
| Professional | $46.67 | $73.94 | $394.41 | |
Midlands
| Facility | $62.80 | $90.74 | $124.87 | |
Midlands
| Professional | $60.99 | $80.98 | $164.43 | |
Sanford Health Plan
| Professional | $51.49 | $74.40 | $117.27 | |
United
| Professional | $47.74 | $69.01 | $87.86 | |
Wellmark
| Professional | $59.50 | $72.09 | $91.20 |