| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.34 | |
Aetna
| Professional | $0.34 | $0.34 | $0.97 | |
Cigna
| Professional | $0.75 | $0.75 | $0.94 | |
Medica
| Facility | $0.49 | $1.07 | $1.64 | |
Midlands
| Facility | $0.95 | $0.95 | $0.95 | |
Midlands
| Professional | $0.95 | $0.95 | $1.20 | |
Sanford Health Plan
| Professional | $0.95 | $0.95 | $0.95 | |
Wellmark
| Professional | $1.00 | $1.00 | $1.00 |