| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.86 | $190.93 | $356.04 | |
Cigna
| Professional | $198.71 | $312.08 | $625.23 | |
Medica
| Professional | $215.87 | $385.91 | $1,632.40 | |
Midlands
| Professional | $233.00 | $293.05 | $541.92 | |
Sanford Health Plan
| Professional | $182.57 | $278.23 | $421.13 | |
United
| Professional | $188.22 | $359.78 | $566.19 | |
Wellmark
| Professional | $213.10 | $260.70 | $511.20 |