| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.59 | $69.59 | $69.59 | |
Aetna
| Professional | $51.75 | $56.93 | $69.78 | |
Cigna
| Facility | $53.85 | $53.85 | $122.18 | |
Cigna
| Professional | $116.25 | $117.41 | $145.31 | |
Medica
| Facility | $75.91 | $101.29 | $456.49 | |
Medica
| Professional | $34.33 | $54.93 | $121.82 | |
Midlands
| Facility | $101.60 | $122.18 | $165.38 | |
Midlands
| Professional | $98.92 | $123.91 | $233.51 | |
Sanford Health Plan
| Professional | $71.88 | $84.16 | $100.04 | |
United
| Professional | $33.65 | $50.16 | $71.66 | |
Wellmark
| Professional | $105.52 | $105.52 | $105.52 |