| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.54 | $131.54 | $131.54 | |
Aetna
| Professional | $50.06 | $97.87 | $131.54 | |
Cigna
| Facility | $117.36 | $117.36 | $171.38 | |
Cigna
| Professional | $192.41 | $219.38 | $274.22 | |
Medica
| Facility | $106.45 | $174.37 | $791.34 | |
Medica
| Professional | $60.13 | $100.41 | $179.15 | |
Midlands
| Facility | $142.49 | $171.38 | $289.68 | |
Midlands
| Professional | $140.33 | $173.77 | $327.47 | |
Sanford Health Plan
| Professional | $125.91 | $147.40 | $175.21 | |
United
| Professional | $60.13 | $87.86 | $179.15 | |
Wellmark
| Professional | $152.68 | $152.68 | $152.68 |