| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.00 | $405.00 | $405.00 | |
Aetna
| Professional | $364.38 | $402.84 | $405.00 | |
Cigna
| Facility | $325.37 | $325.37 | $638.03 | |
Cigna
| Professional | $675.75 | $675.75 | $844.69 | |
Medica
| Facility | $402.84 | $680.80 | $2,714.31 | |
Medica
| Professional | $234.77 | $375.63 | $636.17 | |
Midlands
| Facility | $530.52 | $638.03 | $999.26 | |
Midlands
| Professional | $522.55 | $647.02 | $1,219.29 | |
Sanford Health Plan
| Professional | $491.56 | $575.48 | $684.05 | |
United
| Professional | $203.40 | $293.99 | $489.99 | |
Wellmark
| Professional | $551.03 | $551.03 | $551.03 |