| 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 | $2.11 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medica
| Facility | $1.04 | $3.02 | $3.88 | |
Midlands
| Facility | $2.39 | $2.39 | $2.39 | |
Midlands
| Professional | $2.39 | $2.39 | $9.73 | |
Sanford Health Plan
| Professional | $5.36 | $5.36 | $5.36 | |
Wellmark
| Professional | $8.10 | $8.10 | $8.10 |