| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.97 | $32.97 | $32.97 | |
Aetna
| Professional | $27.37 | $33.52 | $52.63 | |
Cigna
| Professional | $36.38 | $42.11 | $45.47 | |
Medica
| Facility | $33.11 | $39.72 | $64.42 | |
Medica
| Professional | $21.05 | $24.55 | $72.20 | |
Midlands
| Facility | $47.37 | $57.68 | $91.23 | |
Midlands
| Professional | $42.11 | $57.68 | $67.40 | |
Sanford Health Plan
| Professional | $50.18 | $84.54 | $96.40 | |
United
| Professional | $14.74 | $24.55 | $46.32 | |
Wellmark
| Professional | $35.09 | $35.09 | $35.09 |