| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.37 | $101.17 | $237.60 | |
Cigna
| Professional | $125.62 | $127.44 | $157.03 | |
Medica
| Professional | $57.10 | $90.13 | $149.18 | |
Midlands
| Professional | $99.66 | $133.94 | $175.29 | |
Sanford Health Plan
| Professional | $80.50 | $101.56 | $121.07 | |
United
| Professional | $76.02 | $125.16 | $149.18 | |
Wellmark
| Professional | $138.10 | $138.10 | $138.10 |