| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.97 | $10.77 | $12.31 | |
Cigna
| Professional | $14.25 | $14.25 | $17.80 | |
Medica
| Facility | $12.31 | $12.61 | $20.80 | |
Medica
| Professional | $5.03 | $6.29 | $81.33 | |
Midlands
| Facility | $13.00 | $14.64 | $25.95 | |
Midlands
| Professional | $10.75 | $11.99 | $13.25 | |
Sanford Health Plan
| Professional | $10.52 | $12.61 | $15.86 | |
United
| Professional | $4.80 | $5.03 | $10.48 | |
Wellmark
| Professional | $11.98 | $11.98 | $11.98 |