| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $57.54 | $64.57 | |
Cigna
| Facility | $123.03 | $123.03 | $123.03 | |
Cigna
| Professional | $85.11 | $85.11 | $107.15 | |
Medica
| Facility | $54.95 | $77.62 | $131.83 | |
Medica
| Professional | $29.51 | $33.88 | $416.87 | |
Sanford Health Plan
| Professional | $77.62 | $87.10 | $102.33 | |
United
| Professional | $26.92 | $30.90 | $64.57 | |
Wellmark
| Professional | $61.66 | $61.66 | $61.66 |