| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.21 | $45.82 | $88.87 | |
Cigna
| Professional | $59.24 | $69.38 | $86.86 | |
Medica
| Professional | $71.79 | $115.00 | $350.32 | |
Midlands
| Professional | $91.27 | $119.13 | $126.59 | |
Sanford Health Plan
| Professional | $40.68 | $63.40 | $117.20 | |
United
| Professional | $52.46 | $97.75 | $151.33 | |
Wellmark
| Professional | $65.40 | $80.00 | $80.00 |