| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.61 | $43.40 | $43.40 | |
Cigna
| Professional | $78.03 | $95.41 | $119.26 | |
Medica
| Professional | $39.71 | $78.68 | $126.81 | |
Midlands
| Professional | $87.45 | $100.04 | $262.68 | |
Sanford Health Plan
| Professional | $54.70 | $72.93 | $87.84 | |
United
| Professional | $49.42 | $66.09 | $94.35 | |
Wellmark
| Professional | $70.80 | $83.30 | $83.30 |