| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.89 | $25.29 | $26.07 | |
Cigna
| Professional | $39.11 | $53.74 | $80.01 | |
Medica
| Professional | $24.18 | $44.29 | $168.93 | |
Midlands
| Professional | $30.08 | $46.99 | $53.22 | |
Sanford Health Plan
| Professional | $25.96 | $41.79 | $49.16 | |
United
| Professional | $23.22 | $44.66 | $71.11 | |
Wellmark
| Professional | $47.90 | $56.40 | $58.60 |