| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $147.91 | $239.88 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
Medica
| Professional | $57.54 | $89.13 | $147.91 | |
Midlands
| Professional | $134.90 | $134.90 | $134.90 | |
Sanford Health Plan
| Professional | $83.18 | $114.82 | $131.83 | |
United
| Professional | $75.86 | $125.89 | $147.91 |