| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.92 | $28.86 | $66.70 | |
Cigna
| Professional | $52.73 | $82.35 | $102.94 | |
Medica
| Professional | $24.92 | $51.37 | $224.54 | |
Midlands
| Professional | $29.73 | $56.78 | $74.93 | |
Sanford Health Plan
| Professional | $31.28 | $47.78 | $75.04 | |
United
| Professional | $26.31 | $51.37 | $78.56 | |
Wellmark
| Professional | $73.09 | $86.00 | $89.50 |