| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.68 | $63.52 | $177.95 | |
Cigna
| Professional | $82.59 | $97.70 | $120.39 | |
Medica
| Professional | $45.82 | $97.84 | $980.40 | |
Midlands
| Professional | $62.78 | $105.13 | $133.00 | |
Sanford Health Plan
| Professional | $55.31 | $78.30 | $89.88 | |
United
| Professional | $45.82 | $83.86 | $113.19 | |
Wellmark
| Professional | $92.10 | $95.80 | $112.70 |