| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.05 | $46.77 | |
Cigna
| Professional | $29.51 | $34.67 | $42.66 | |
Medica
| Professional | $15.49 | $28.84 | $100.00 | |
Midlands
| Professional | $16.60 | $30.90 | $38.90 | |
Midlands
| Professional | $33.11 | $33.11 | $33.11 | |
Sanford Health Plan
| Professional | $18.20 | $25.70 | $34.67 | |
United
| Professional | $17.38 | $29.51 | $44.67 | |
Wellmark
| Professional | $32.36 | $33.88 | $39.81 |