| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $100.00 | $154.88 | |
Cigna
| Professional | $69.18 | $69.18 | $85.11 | |
Medica
| Professional | $29.51 | $69.18 | $120.23 | |
Midlands
| Professional | $70.79 | $70.79 | $70.79 | |
Sanford Health Plan
| Professional | $44.67 | $60.26 | $95.50 | |
United
| Professional | $48.98 | $69.18 | $120.23 |