| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.83 | $294.83 | $294.83 | |
Aetna
| Professional | $264.30 | $294.83 | $303.86 | |
Cigna
| Facility | $382.03 | $382.03 | $513.27 | |
Cigna
| Professional | $426.00 | $430.26 | $532.50 | |
Medica
| Facility | $329.62 | $513.52 | $1,660.98 | |
Medica
| Professional | $205.73 | $343.50 | $612.90 | |
Midlands
| Facility | $510.75 | $515.88 | $700.92 | |
Midlands
| Professional | $513.27 | $556.17 | $1,082.03 | |
Sanford Health Plan
| Professional | $356.76 | $413.43 | $430.75 | |
United
| Professional | $64.12 | $289.62 | $431.12 | |
Wellmark
| Professional | $457.28 | $457.28 | $457.28 |