| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $302.00 | $537.03 | |
Cigna
| Professional | $602.56 | $794.33 | $1,047.13 | |
Medica
| Professional | $309.03 | $707.95 | $2,630.27 | |
Midlands
| Professional | $602.56 | $645.65 | $812.83 | |
Midlands
| Professional | $562.34 | $562.34 | $741.31 | |
Sanford Health Plan
| Professional | $416.87 | $575.44 | $691.83 | |
United
| Professional | $309.03 | $537.03 | $870.96 | |
Wellmark
| Professional | $489.78 | $588.84 | $776.25 |