| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.06 | $248.06 | $248.06 | |
Aetna
| Professional | $102.72 | $277.08 | $304.79 | |
Cigna
| Facility | $301.51 | $301.51 | $442.07 | |
Cigna
| Professional | $353.25 | $356.78 | $441.56 | |
Medica
| Facility | $277.97 | $468.35 | $1,352.24 | |
Medica
| Professional | $199.87 | $333.71 | $525.24 | |
Midlands
| Facility | $442.07 | $450.76 | $602.76 | |
Midlands
| Professional | $444.19 | $490.84 | $929.79 | |
Sanford Health Plan
| Professional | $295.95 | $342.98 | $418.47 | |
United
| Professional | $53.19 | $257.58 | $417.14 | |
Wellmark
| Professional | $393.84 | $393.84 | $393.84 |