| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.80 | $550.80 | $550.80 | |
Aetna
| Professional | $483.81 | $490.99 | $550.80 | |
Cigna
| Facility | $512.80 | $512.80 | $847.18 | |
Cigna
| Professional | $915.57 | $919.13 | $1,148.91 | |
Medica
| Facility | $526.30 | $829.77 | $3,769.74 | |
Medica
| Professional | $286.14 | $457.83 | $852.47 | |
Midlands
| Facility | $704.42 | $847.18 | $1,378.36 | |
Midlands
| Professional | $693.84 | $859.11 | $1,618.96 | |
Sanford Health Plan
| Professional | $599.13 | $701.42 | $833.76 | |
United
| Professional | $280.57 | $397.82 | $597.22 | |
Wellmark
| Professional | $754.76 | $754.76 | $754.76 |