| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.76 | $43.76 | $43.76 | |
Aetna
| Professional | $35.70 | $43.42 | $54.88 | |
Cigna
| Professional | $51.00 | $63.75 | $100.31 | |
Medica
| Facility | $37.31 | $58.20 | $93.08 | |
Medica
| Professional | $54.54 | $86.77 | $403.88 | |
Midlands
| Facility | $61.22 | $81.34 | $109.12 | |
Midlands
| Professional | $62.85 | $81.08 | $122.98 | |
Sanford Health Plan
| Professional | $55.40 | $85.27 | $132.75 | |
United
| Professional | $54.54 | $89.21 | $108.35 | |
Wellmark
| Professional | $56.30 | $68.20 | $105.30 |