| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.41 | $0.41 | $1.74 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medica
| Facility | $0.59 | $1.79 | $2.94 | |
Midlands
| Facility | $1.21 | $1.21 | $1.21 | |
Midlands
| Professional | $1.21 | $1.21 | $2.40 | |
Sanford Health Plan
| Professional | $1.35 | $1.35 | $1.35 | |
Wellmark
| Professional | $2.00 | $2.00 | $2.00 |