| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.82 | $45.82 | $45.82 | |
Aetna
| Professional | $33.81 | $36.58 | $45.82 | |
Cigna
| Facility | $30.91 | $30.91 | $64.04 | |
Cigna
| Professional | $63.05 | $76.50 | $95.63 | |
Medica
| Facility | $39.79 | $57.14 | $263.25 | |
Medica
| Professional | $19.70 | $31.52 | $63.86 | |
Midlands
| Facility | $53.25 | $64.04 | $94.90 | |
Midlands
| Professional | $52.46 | $64.95 | $122.40 | |
Sanford Health Plan
| Professional | $41.25 | $48.30 | $57.41 | |
United
| Professional | $19.32 | $28.78 | $43.83 | |
Wellmark
| Professional | $57.06 | $57.06 | $57.06 |