| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $74.13 | $218.78 | |
Cigna
| Professional | $43.65 | $43.65 | $54.95 | |
Medica
| Professional | $18.62 | $24.55 | $45.71 | |
Midlands
| Professional | $41.69 | $41.69 | $41.69 | |
Sanford Health Plan
| Professional | $26.30 | $33.88 | $43.65 | |
United
| Professional | $20.89 | $38.90 | $47.86 |