| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.81 | $236.81 | $236.81 | |
Aetna
| Professional | $213.05 | $235.52 | $236.81 | |
Cigna
| Facility | $227.96 | $227.96 | $373.07 | |
Cigna
| Professional | $395.25 | $395.25 | $494.06 | |
Medica
| Facility | $235.52 | $398.03 | $1,593.03 | |
Medica
| Professional | $137.26 | $219.61 | $371.97 | |
Midlands
| Facility | $310.20 | $373.07 | $584.29 | |
Midlands
| Professional | $305.54 | $378.32 | $712.92 | |
Sanford Health Plan
| Professional | $287.37 | $336.46 | $399.94 | |
United
| Professional | $118.93 | $171.88 | $286.47 | |
Wellmark
| Professional | $332.37 | $332.37 | $332.37 |