| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $34.47 | $34.47 | |
Aetna
| Professional | $19.25 | $36.97 | $45.29 | |
Cigna
| Facility | $35.60 | $35.60 | $59.49 | |
Cigna
| Professional | $62.63 | $62.63 | $78.28 | |
Medica
| Facility | $40.10 | $62.48 | $253.09 | |
Medica
| Professional | $21.78 | $40.46 | $58.80 | |
Midlands
| Facility | $49.46 | $59.49 | $113.67 | |
Midlands
| Professional | $49.46 | $61.81 | $141.10 | |
Sanford Health Plan
| Professional | $51.47 | $54.08 | $71.58 | |
United
| Professional | $19.01 | $27.44 | $44.96 | |
Wellmark
| Professional | $53.00 | $53.00 | $53.00 |