| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.34 | $198.47 | $252.90 | |
Cigna
| Professional | $98.29 | $122.87 | $194.21 | |
Medica
| Professional | $40.65 | $110.72 | $779.19 | |
Midlands
| Professional | $53.00 | $112.26 | $151.68 | |
Sanford Health Plan
| Professional | $112.84 | $132.77 | $152.59 | |
United
| Professional | $40.65 | $46.73 | $123.02 | |
Wellmark
| Professional | $138.69 | $163.19 | $169.70 |