| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.50 | $32.46 | $43.81 | |
Medica
| Facility | $30.62 | $42.98 | $128.49 | |
Medica
| Professional | $14.17 | $24.35 | $142.29 | |
Midlands
| Facility | $38.40 | $48.00 | $70.33 | |
Midlands
| Professional | $24.00 | $36.52 | $44.91 | |
Sanford Health Plan
| Professional | $33.08 | $63.16 | $74.31 | |
United
| Professional | $11.36 | $16.23 | $35.71 | |
Wellmark
| Professional | $27.05 | $27.05 | $27.05 |