| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $56.23 | $70.79 | |
Cigna
| Professional | $85.11 | $114.82 | $144.54 | |
Medica
| Professional | $51.29 | $87.10 | $346.74 | |
Midlands
| Professional | $107.15 | $107.15 | $138.04 | |
Midlands
| Professional | $53.70 | $95.50 | $95.50 | |
Sanford Health Plan
| Professional | $61.66 | $81.28 | $109.65 | |
United
| Professional | $50.12 | $87.10 | $125.89 | |
Wellmark
| Professional | $104.71 | $109.65 | $128.82 |