| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.45 | $30.45 | $30.45 | |
Aetna
| Professional | $24.62 | $30.45 | $35.14 | |
Cigna
| Professional | $29.76 | $36.72 | $51.32 | |
Medica
| Facility | $30.75 | $47.97 | $67.45 | |
Medica
| Professional | $34.97 | $60.39 | $216.05 | |
Midlands
| Facility | $42.19 | $58.03 | $78.39 | |
Midlands
| Professional | $45.23 | $57.14 | $63.65 | |
Sanford Health Plan
| Professional | $41.08 | $54.99 | $64.69 | |
United
| Professional | $31.29 | $58.40 | $67.78 | |
Wellmark
| Professional | $47.30 | $48.70 | $48.70 |