| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $123.03 | $169.82 | |
Cigna
| Professional | $229.09 | $288.40 | $416.87 | |
Medica
| Professional | $109.65 | $234.42 | $1,698.24 | |
Midlands
| Professional | $213.80 | $213.80 | $281.84 | |
Midlands
| Professional | $190.55 | $190.55 | $239.88 | |
Sanford Health Plan
| Professional | $141.25 | $194.98 | $275.42 | |
United
| Professional | $109.65 | $204.17 | $331.13 | |
Wellmark
| Professional | $186.21 | $229.09 | $323.59 |