| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.24 | $0.24 | $86.40 | |
Aetna
| Professional | $0.20 | $0.24 | $0.24 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 | |
Medica
| Facility | $0.27 | $0.37 | $0.60 | |
Sanford Health Plan
| Professional | $0.40 | $0.40 | $0.40 | |
Wellmark
| Facility | $0.20 | $0.20 | $0.20 |