| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.30 | $96.96 | $121.20 | |
Medica
| Professional | $29.60 | $45.64 | $54.19 | |
Midlands
| Professional | $38.64 | $55.23 | $121.00 | |
Sanford Health Plan
| Professional | $30.14 | $59.32 | $79.56 | |
United
| Professional | $29.60 | $45.64 | $49.93 | |
Wellmark
| Professional | $75.80 | $89.20 | $89.20 |