| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $16.26 | |
Cigna
| Professional | $9.38 | $9.47 | $11.72 | |
Medica
| Facility | $21.19 | $27.48 | $44.55 | |
Medica
| Professional | $4.67 | $6.57 | $10.43 | |
Midlands
| Facility | $93.00 | $93.00 | $93.00 | |
Midlands
| Professional | $84.44 | $93.00 | $93.00 | |
Sanford Health Plan
| Professional | $14.93 | $14.93 | $14.93 | |
United
| Professional | $3.46 | $6.52 | $10.43 |