| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $28.54 | $80.09 | |
Cigna
| Professional | $29.86 | $29.86 | $37.32 | |
Medica
| Professional | $11.04 | $15.24 | $26.67 | |
Midlands
| Professional | $13.30 | $24.49 | $32.04 | |
Sanford Health Plan
| Professional | $13.57 | $21.24 | $28.46 | |
United
| Professional | $11.04 | $15.24 | $34.79 | |
Wellmark
| Professional | $21.70 | $21.70 | $21.70 |