| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $363.08 | $446.68 | |
Aetna
| Professional | $263.03 | $302.00 | $467.74 | |
Cigna
| Professional | $457.09 | $741.31 | $933.25 | |
Medica
| Facility | $371.54 | $446.68 | $1,862.09 | |
Medica
| Professional | $199.53 | $199.53 | $467.74 | |
Sanford Health Plan
| Professional | $562.34 | $912.01 | $1,071.52 | |
United
| Professional | $165.96 | $234.42 | $512.86 | |
Wellmark
| Professional | $389.05 | $389.05 | $389.05 |