| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $234.42 | $416.87 | |
Cigna
| Professional | $436.52 | $575.44 | $812.83 | |
Medica
| Professional | $239.88 | $549.54 | $2,089.30 | |
Midlands
| Professional | $436.52 | $478.63 | $630.96 | |
Midlands
| Professional | $416.87 | $416.87 | $575.44 | |
Sanford Health Plan
| Professional | $331.13 | $436.52 | $537.03 | |
United
| Professional | $239.88 | $416.87 | $691.83 | |
Wellmark
| Professional | $354.81 | $436.52 | $602.56 |