| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $316.23 | $316.23 | |
Aetna
| Professional | $204.17 | $275.42 | $316.23 | |
Cigna
| Professional | $389.05 | $389.05 | $478.63 | |
Medica
| Facility | $309.03 | $467.74 | $891.25 | |
Medica
| Professional | $109.65 | $331.13 | $562.34 | |
Midlands
| Professional | $363.08 | $363.08 | $363.08 | |
Sanford Health Plan
| Professional | $4.57 | $331.13 | $436.52 | |
United
| Professional | $109.65 | $316.23 | $537.03 |