| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $316.23 | |
Aetna
| Professional | $181.97 | $208.93 | $316.23 | |
Cigna
| Professional | $389.05 | $524.81 | $660.69 | |
Medica
| Facility | $257.04 | $309.03 | $501.19 | |
Medica
| Professional | $141.25 | $165.96 | $1,380.38 | |
Midlands
| Professional | $331.13 | $331.13 | $331.13 | |
Sanford Health Plan
| Professional | $389.05 | $645.65 | $758.58 | |
United
| Professional | $114.82 | $165.96 | $316.23 | |
Wellmark
| Professional | $275.42 | $275.42 | $275.42 |