| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.76 | $17.75 | $24.43 | |
Cigna
| Professional | $15.32 | $32.68 | $45.14 | |
Medica
| Professional | $15.33 | $31.40 | $271.20 | |
Midlands
| Professional | $25.32 | $37.58 | $78.70 | |
Sanford Health Plan
| Professional | $20.68 | $26.04 | $60.32 | |
United
| Professional | $15.11 | $25.38 | $36.94 | |
Wellmark
| Professional | $24.40 | $30.60 | $31.90 |