| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $45.75 | $52.76 | $71.20 | |
Medica
| Facility | $34.27 | $49.79 | $208.86 | |
Medica
| Professional | $14.95 | $39.57 | $219.85 | |
Midlands
| Facility | $50.00 | $72.28 | $114.32 | |
Midlands
| Professional | $27.00 | $52.76 | $72.98 | |
Sanford Health Plan
| Professional | $35.17 | $102.67 | $120.79 | |
United
| Professional | $14.95 | $26.38 | $43.97 | |
Wellmark
| Professional | $43.97 | $43.97 | $43.97 |