| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.67 | $29.67 | $42.40 | |
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medica
| Facility | $26.68 | $32.01 | $134.28 | |
Medica
| Professional | $16.96 | $25.44 | $52.35 | |
Midlands
| Facility | $33.92 | $40.11 | $52.12 | |
Midlands
| Professional | $33.96 | $47.44 | $73.78 | |
Sanford Health Plan
| Professional | $28.27 | $68.11 | $77.66 | |
United
| Professional | $11.87 | $17.80 | $33.92 | |
Wellmark
| Professional | $28.27 | $28.27 | $28.27 |