| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.67 | $295.37 | $348.83 | |
Cigna
| Professional | $394.21 | $677.82 | $994.33 | |
Medica
| Professional | $428.93 | $810.37 | $2,529.28 | |
Midlands
| Professional | $494.42 | $618.51 | $896.64 | |
Sanford Health Plan
| Professional | $333.34 | $479.69 | $659.51 | |
United
| Professional | $429.56 | $625.77 | $973.42 | |
Wellmark
| Professional | $456.30 | $558.29 | $807.20 |