| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.62 | $317.62 | $317.62 | |
Aetna
| Professional | $276.20 | $300.63 | $317.62 | |
Cigna
| Facility | $295.70 | $295.70 | $483.63 | |
Cigna
| Professional | $529.88 | $529.88 | $662.34 | |
Medica
| Facility | $300.63 | $508.06 | $2,182.33 | |
Medica
| Professional | $175.21 | $280.33 | $499.56 | |
Midlands
| Facility | $402.14 | $483.63 | $807.74 | |
Midlands
| Professional | $396.11 | $490.45 | $924.23 | |
Sanford Health Plan
| Professional | $366.84 | $429.47 | $510.50 | |
United
| Professional | $164.42 | $233.13 | $373.00 | |
Wellmark
| Professional | $430.87 | $430.87 | $430.87 |