| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.33 | $25.33 | $25.33 | |
Aetna
| Professional | $21.10 | $24.24 | $37.47 | |
Cigna
| Professional | $30.38 | $55.13 | $68.91 | |
Medica
| Facility | $21.97 | $34.65 | $62.50 | |
Medica
| Professional | $27.47 | $43.70 | $265.37 | |
Midlands
| Facility | $35.25 | $47.79 | $71.81 | |
Midlands
| Professional | $35.25 | $40.90 | $62.81 | |
Sanford Health Plan
| Professional | $32.61 | $53.69 | $90.96 | |
United
| Professional | $27.47 | $45.36 | $70.03 | |
Wellmark
| Professional | $33.40 | $40.50 | $72.09 |