| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.66 | $418.66 | $418.66 | |
Aetna
| Professional | $355.62 | $403.01 | $418.66 | |
Cigna
| Facility | $380.61 | $380.61 | $622.71 | |
Cigna
| Professional | $698.63 | $705.61 | $873.28 | |
Medica
| Facility | $403.01 | $681.09 | $2,801.35 | |
Medica
| Professional | $234.87 | $375.79 | $637.04 | |
Midlands
| Facility | $517.77 | $622.71 | $1,030.06 | |
Midlands
| Professional | $509.99 | $631.47 | $1,189.97 | |
Sanford Health Plan
| Professional | $491.76 | $575.73 | $684.35 | |
United
| Professional | $209.67 | $312.41 | $490.20 | |
Wellmark
| Professional | $554.78 | $554.78 | $554.78 |