| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.24 | $33.24 | $33.24 | |
Aetna
| Professional | $19.67 | $33.24 | $37.15 | |
Cigna
| Facility | $38.15 | $42.22 | $59.25 | |
Cigna
| Professional | $47.25 | $47.72 | $59.06 | |
Medica
| Facility | $37.92 | $62.78 | $181.21 | |
Medica
| Professional | $26.79 | $40.85 | $70.38 | |
Midlands
| Facility | $59.25 | $60.40 | $80.77 | |
Midlands
| Professional | $59.25 | $63.94 | $124.60 | |
Sanford Health Plan
| Professional | $39.65 | $45.96 | $56.09 | |
United
| Professional | $7.13 | $33.54 | $55.92 | |
Wellmark
| Professional | $52.78 | $52.78 | $52.78 |