| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.27 | $37.20 | $210.04 | |
Cigna
| Professional | $57.93 | $58.76 | $72.41 | |
Medica
| Professional | $26.32 | $40.17 | $64.97 | |
Midlands
| Professional | $44.89 | $64.13 | $77.06 | |
Sanford Health Plan
| Professional | $36.47 | $47.57 | $54.52 | |
United
| Professional | $33.86 | $42.44 | $64.97 | |
Wellmark
| Professional | $63.30 | $63.30 | $63.30 |