| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $6.21 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medica
| Facility | $1.04 | $4.90 | $10.49 | |
Midlands
| Facility | $3.00 | $3.00 | $3.00 | |
Midlands
| Professional | $3.00 | $3.00 | $3.48 | |
Sanford Health Plan
| Professional | $7.18 | $7.18 | $7.18 | |
Wellmark
| Professional | $2.90 | $2.90 | $2.90 |