| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $870.96 | |
Aetna
| Professional | $512.86 | $575.44 | $912.01 | |
Cigna
| Professional | $794.33 | $794.33 | $1,000.00 | |
Medica
| Facility | $724.44 | $724.44 | $1,380.38 | |
Medica
| Professional | $389.05 | $457.09 | $3,801.89 | |
Midlands
| Professional | $912.01 | $912.01 | $912.01 | |
Sanford Health Plan
| Professional | $1,096.48 | $1,778.28 | $2,089.30 | |
United
| Professional | $316.23 | $457.09 | $870.96 | |
Wellmark
| Professional | $758.58 | $758.58 | $758.58 |