| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $85.11 | $93.33 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $125.89 | $125.89 | $158.49 | |
Medica
| Facility | $85.11 | $102.33 | $173.78 | |
Medica
| Professional | $40.74 | $51.29 | $549.54 | |
Sanford Health Plan
| Professional | $102.33 | $114.82 | $134.90 | |
United
| Professional | $39.81 | $40.74 | $89.13 | |
Wellmark
| Professional | $93.33 | $93.33 | $93.33 |