| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.48 | $53.48 | $53.48 | |
Aetna
| Professional | $44.39 | $53.48 | $53.48 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Medica
| Facility | $61.18 | $81.34 | $131.88 | |
Sanford Health Plan
| Professional | $47.35 | $47.35 | $47.35 | |
Wellmark
| Facility | $44.57 | $44.57 | $44.57 |