| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $19.19 | $56.96 | |
Cigna
| Professional | $42.07 | $43.90 | $52.59 | |
Medica
| Professional | $14.21 | $25.58 | $53.80 | |
Midlands
| Professional | $23.05 | $35.31 | $47.68 | |
Sanford Health Plan
| Professional | $20.32 | $35.18 | $41.88 | |
United
| Professional | $14.21 | $25.36 | $53.80 | |
Wellmark
| Professional | $30.50 | $30.50 | $30.50 |