| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $67.61 | $72.44 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $97.72 | $97.72 | $123.03 | |
Medica
| Facility | $69.18 | $83.18 | $144.54 | |
Medica
| Professional | $33.11 | $43.65 | $436.52 | |
Sanford Health Plan
| Professional | $83.18 | $93.33 | $109.65 | |
United
| Professional | $30.20 | $33.11 | $69.18 | |
Wellmark
| Professional | $77.62 | $77.62 | $77.62 |