| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.02 | $107.84 | $160.47 | |
Cigna
| Professional | $127.48 | $150.80 | $186.22 | |
Medica
| Professional | $85.37 | $168.56 | $1,554.00 | |
Midlands
| Professional | $106.31 | $179.72 | $231.58 | |
Sanford Health Plan
| Professional | $87.51 | $119.72 | $152.78 | |
United
| Professional | $85.37 | $158.78 | $229.30 | |
Wellmark
| Professional | $140.80 | $146.40 | $172.30 |