| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.50 | $22.03 | $40.32 | |
Cigna
| Professional | $39.78 | $40.36 | $49.73 | |
Medica
| Professional | $18.23 | $26.85 | $44.23 | |
Midlands
| Professional | $30.25 | $40.24 | $52.24 | |
Sanford Health Plan
| Professional | $24.89 | $32.34 | $37.40 | |
United
| Professional | $22.66 | $37.59 | $53.28 | |
Wellmark
| Professional | $44.00 | $44.00 | $44.00 |