| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.56 | $52.27 | $59.92 | |
Cigna
| Professional | $56.64 | $77.91 | $176.27 | |
Medica
| Professional | $60.88 | $151.78 | $1,462.00 | |
Midlands
| Professional | $61.85 | $100.00 | $161.19 | |
Sanford Health Plan
| Professional | $46.74 | $88.74 | $119.03 | |
United
| Professional | $66.78 | $121.42 | $167.05 | |
Wellmark
| Professional | $50.40 | $61.70 | $133.50 |