| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.44 | $153.76 | $173.93 | |
Cigna
| Professional | $152.41 | $253.21 | $501.55 | |
Medica
| Professional | $168.85 | $302.52 | $1,312.96 | |
Midlands
| Professional | $207.68 | $285.50 | $431.28 | |
Sanford Health Plan
| Professional | $149.57 | $232.19 | $337.03 | |
United
| Professional | $164.69 | $290.20 | $451.42 | |
Wellmark
| Professional | $174.60 | $213.60 | $409.10 |