| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $57.54 | $100.00 | |
Aetna
| Professional | $30.90 | $46.77 | $91.20 | |
Cigna
| Professional | $102.33 | $114.82 | $144.54 | |
Medica
| Facility | $38.02 | $53.70 | $102.33 | |
Medica
| Professional | $46.77 | $74.13 | $398.11 | |
Midlands
| Professional | $61.66 | $72.44 | $91.20 | |
Sanford Health Plan
| Professional | $56.23 | $79.43 | $120.23 | |
United
| Professional | $38.02 | $67.61 | $117.49 | |
Wellmark
| Professional | $58.88 | $72.44 | $91.20 |