| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $15.85 | $15.85 | |
Aetna
| Professional | $10.00 | $14.13 | $15.85 | |
Cigna
| Professional | $19.95 | $19.95 | $25.12 | |
Medica
| Facility | $0.11 | $23.44 | $45.71 | |
Medica
| Professional | $5.75 | $17.38 | $28.84 | |
Midlands
| Professional | $19.05 | $19.05 | $19.05 | |
Sanford Health Plan
| Professional | $17.38 | $19.50 | $22.91 | |
United
| Professional | $5.75 | $16.60 | $27.54 |