| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.18 | $154.18 | $154.18 | |
Aetna
| Professional | $129.66 | $148.41 | $160.94 | |
Cigna
| Professional | $183.75 | $231.38 | $289.22 | |
Medica
| Facility | $134.44 | $178.35 | $326.07 | |
Medica
| Professional | $181.78 | $289.19 | $1,193.31 | |
Midlands
| Facility | $215.38 | $286.12 | $393.22 | |
Midlands
| Professional | $215.38 | $269.60 | $408.91 | |
Sanford Health Plan
| Professional | $199.22 | $280.45 | $389.66 | |
United
| Professional | $181.78 | $286.85 | $347.03 | |
Wellmark
| Professional | $205.20 | $248.60 | $309.10 |