| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $147.91 | $177.83 | |
Aetna
| Professional | $104.71 | $120.23 | $181.97 | |
Cigna
| Professional | $218.78 | $302.00 | $380.19 | |
Medica
| Facility | $147.91 | $177.83 | $288.40 | |
Medica
| Professional | $79.43 | $93.33 | $776.25 | |
Midlands
| Professional | $186.21 | $186.21 | $186.21 | |
Sanford Health Plan
| Professional | $223.87 | $363.08 | $426.58 | |
United
| Professional | $66.07 | $93.33 | $181.97 | |
Wellmark
| Professional | $158.49 | $158.49 | $158.49 |