| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $43.65 | $72.44 | |
Cigna
| Professional | $40.74 | $41.69 | $52.48 | |
Medica
| Professional | $18.20 | $26.92 | $44.67 | |
Midlands
| Professional | $39.81 | $39.81 | $39.81 | |
Sanford Health Plan
| Professional | $25.70 | $33.88 | $42.66 | |
United
| Professional | $22.91 | $38.02 | $45.71 |