| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $34.47 | $34.47 | |
Aetna
| Professional | $16.80 | $18.48 | $45.29 | |
Cigna
| Facility | $36.21 | $36.21 | $59.49 | |
Cigna
| Professional | $62.63 | $62.63 | $78.28 | |
Medica
| Facility | $36.97 | $62.48 | $253.09 | |
Medica
| Professional | $21.55 | $38.51 | $61.81 | |
Midlands
| Facility | $49.46 | $59.49 | $93.39 | |
Midlands
| Professional | $48.73 | $60.33 | $113.67 | |
Sanford Health Plan
| Professional | $45.11 | $52.81 | $62.78 | |
United
| Professional | $19.01 | $38.51 | $44.96 | |
Wellmark
| Professional | $53.00 | $53.00 | $53.00 |