| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $22.91 | $30.20 | |
Cigna
| Professional | $28.18 | $35.48 | $50.12 | |
Medica
| Facility | $32.36 | $44.67 | $128.82 | |
Medica
| Professional | $15.85 | $26.30 | $245.47 | |
Midlands
| Professional | $36.31 | $50.12 | $50.12 | |
Sanford Health Plan
| Professional | $37.15 | $46.77 | $54.95 | |
United
| Professional | $14.45 | $24.55 | $64.57 | |
Wellmark
| Professional | $47.86 | $56.23 | $58.88 |