| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.05 | $173.05 | $173.05 | |
Aetna
| Professional | $156.19 | $173.05 | $193.33 | |
Cigna
| Facility | $211.82 | $211.82 | $308.39 | |
Cigna
| Professional | $246.38 | $248.84 | $307.97 | |
Medica
| Facility | $193.91 | $326.73 | $943.35 | |
Medica
| Professional | $139.43 | $232.81 | $366.41 | |
Midlands
| Facility | $308.39 | $314.44 | $420.47 | |
Midlands
| Professional | $309.87 | $342.40 | $648.61 | |
Sanford Health Plan
| Professional | $206.46 | $239.26 | $291.93 | |
United
| Professional | $37.10 | $179.69 | $291.01 | |
Wellmark
| Professional | $274.74 | $274.74 | $274.74 |