| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.26 | $92.85 | $173.44 | |
Cigna
| Professional | $70.00 | $134.66 | $277.55 | |
Medica
| Professional | $104.92 | $153.76 | $782.75 | |
Midlands
| Professional | $126.87 | $175.23 | $278.92 | |
Sanford Health Plan
| Professional | $87.30 | $144.99 | $235.61 | |
United
| Professional | $101.95 | $141.25 | $218.82 | |
Wellmark
| Professional | $111.50 | $136.50 | $276.70 |