| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.48 | $57.54 | $208.93 | |
Cigna
| Professional | $83.18 | $85.11 | $104.71 | |
Medica
| Professional | $37.15 | $66.07 | $457.09 | |
Sanford Health Plan
| Professional | $42.66 | $64.57 | $75.86 | |
United
| Professional | $39.81 | $69.18 | $107.15 | |
Wellmark
| Professional | $75.86 | $79.43 | $93.33 |