| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.05 | $398.05 | $398.05 | |
Aetna
| Professional | $350.80 | $353.02 | $398.05 | |
Cigna
| Facility | $347.46 | $347.46 | $614.27 | |
Cigna
| Professional | $658.27 | $664.13 | $830.16 | |
Medica
| Facility | $381.62 | $596.60 | $2,780.76 | |
Medica
| Professional | $205.73 | $329.17 | $612.90 | |
Midlands
| Facility | $510.75 | $614.27 | $991.01 | |
Midlands
| Professional | $503.09 | $622.91 | $1,173.85 | |
Sanford Health Plan
| Professional | $430.75 | $504.31 | $599.45 | |
United
| Professional | $205.73 | $394.24 | $658.81 | |
Wellmark
| Professional | $547.26 | $547.26 | $547.26 |