| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $229.09 | $416.87 | |
Cigna
| Professional | $239.88 | $416.87 | $776.25 | |
Medica
| Professional | $223.87 | $398.11 | $1,949.84 | |
Midlands
| Professional | $316.23 | $354.81 | $645.65 | |
Midlands
| Professional | $295.12 | $295.12 | $501.19 | |
Sanford Health Plan
| Professional | $208.93 | $309.03 | $501.19 | |
United
| Professional | $165.96 | $288.40 | $562.34 | |
Wellmark
| Professional | $275.42 | $338.84 | $602.56 |