| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.36 | $64.11 | $88.31 | |
Cigna
| Professional | $118.38 | $145.86 | $182.33 | |
Medica
| Professional | $60.88 | $117.31 | $405.66 | |
Midlands
| Professional | $97.53 | $122.73 | $135.46 | |
Sanford Health Plan
| Professional | $71.16 | $96.73 | $133.26 | |
United
| Professional | $59.93 | $114.41 | $140.47 | |
Wellmark
| Professional | $137.50 | $168.20 | $168.20 |