| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.30 | $202.31 | $864.00 | |
Cigna
| Professional | $290.95 | $296.64 | $366.31 | |
Medica
| Professional | $160.11 | $313.35 | $1,308.32 | |
Midlands
| Professional | $206.00 | $324.01 | $432.00 | |
Sanford Health Plan
| Professional | $162.69 | $232.63 | $278.50 | |
United
| Professional | $160.11 | $285.60 | $359.79 | |
Wellmark
| Professional | $273.60 | $284.50 | $334.70 |