| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.42 | $38.02 | $131.83 | |
Cigna
| Professional | $40.74 | $43.65 | $53.70 | |
Medica
| Professional | $22.39 | $44.67 | $323.59 | |
Midlands
| Professional | $47.86 | $50.12 | $57.54 | |
Midlands
| Professional | $28.84 | $52.48 | $52.48 | |
Sanford Health Plan
| Professional | $23.44 | $34.67 | $44.67 | |
United
| Professional | $26.30 | $44.67 | $66.07 | |
Wellmark
| Professional | $39.81 | $41.69 | $48.98 |