| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $25.12 | $26.92 | |
Cigna
| Professional | $28.18 | $32.36 | $44.67 | |
Medica
| Facility | $30.90 | $42.66 | $128.82 | |
Medica
| Professional | $14.13 | $16.22 | $141.25 | |
Midlands
| Professional | $44.67 | $44.67 | $44.67 | |
Sanford Health Plan
| Professional | $33.11 | $64.57 | $74.13 | |
United
| Professional | $11.48 | $16.22 | $35.48 | |
Wellmark
| Professional | $26.92 | $26.92 | $26.92 |