| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.94 | $338.94 | $338.94 | |
Aetna
| Professional | $304.87 | $311.39 | $338.94 | |
Cigna
| Facility | $297.02 | $297.02 | $533.83 | |
Cigna
| Professional | $565.50 | $565.50 | $706.88 | |
Medica
| Facility | $331.65 | $526.27 | $2,464.07 | |
Medica
| Professional | $181.48 | $290.36 | $540.65 | |
Midlands
| Facility | $443.87 | $533.83 | $874.18 | |
Midlands
| Professional | $437.22 | $541.35 | $1,020.14 | |
Sanford Health Plan
| Professional | $379.97 | $444.85 | $528.78 | |
United
| Professional | $177.94 | $265.14 | $487.80 | |
Wellmark
| Professional | $475.59 | $475.59 | $475.59 |