| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.30 | $80.06 | $149.47 | |
Cigna
| Professional | $58.34 | $112.36 | $231.17 | |
Medica
| Professional | $90.49 | $132.51 | $674.78 | |
Midlands
| Professional | $109.75 | $150.22 | $240.58 | |
Sanford Health Plan
| Professional | $72.34 | $122.74 | $197.30 | |
United
| Professional | $86.20 | $119.81 | $187.61 | |
Wellmark
| Professional | $92.40 | $113.10 | $230.00 |