| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $194.98 | $870.96 | |
Cigna
| Professional | $295.12 | $302.00 | $371.54 | |
Medica
| Professional | $144.54 | $288.40 | $1,318.26 | |
Sanford Health Plan
| Professional | $158.49 | $251.19 | $288.40 | |
United
| Professional | $169.82 | $288.40 | $426.58 | |
Wellmark
| Professional | $275.42 | $281.84 | $331.13 |