| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.67 | $63.57 | $93.99 | |
Cigna
| Professional | $32.57 | $44.80 | $231.78 | |
Medica
| Professional | $72.70 | $171.24 | $595.36 | |
Midlands
| Professional | $32.88 | $107.21 | $187.91 | |
Sanford Health Plan
| Professional | $25.85 | $106.33 | $151.37 | |
United
| Professional | $78.72 | $143.12 | $238.84 | |
Wellmark
| Professional | $30.20 | $36.90 | $183.70 |