| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.26 | $104.38 | $113.14 | |
Cigna
| Professional | $92.85 | $116.28 | $163.79 | |
Medica
| Facility | $100.84 | $176.40 | $236.46 | |
Medica
| Professional | $118.57 | $191.35 | $661.18 | |
Midlands
| Facility | $144.97 | $176.33 | $242.97 | |
Midlands
| Professional | $144.97 | $170.91 | $219.62 | |
Sanford Health Plan
| Professional | $122.99 | $171.57 | $201.83 | |
United
| Professional | $103.72 | $180.25 | $226.36 | |
Wellmark
| Professional | $146.10 | $177.10 | $177.10 |