| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.23 | $49.23 | $49.23 | |
Aetna
| Professional | $39.82 | $49.23 | $56.06 | |
Cigna
| Professional | $49.10 | $58.91 | $82.67 | |
Medica
| Facility | $49.75 | $78.06 | $109.11 | |
Medica
| Professional | $55.25 | $96.69 | $349.47 | |
Midlands
| Facility | $68.19 | $92.15 | $127.87 | |
Midlands
| Professional | $71.64 | $91.62 | $103.29 | |
Sanford Health Plan
| Professional | $66.70 | $90.73 | $106.74 | |
United
| Professional | $49.39 | $90.85 | $108.42 | |
Wellmark
| Professional | $78.09 | $80.40 | $80.40 |