| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $158.49 | $338.84 | |
Cigna
| Professional | $309.03 | $309.03 | $389.05 | |
Medica
| Professional | $134.90 | $234.42 | $380.19 | |
Midlands
| Professional | $309.03 | $309.03 | $309.03 | |
Sanford Health Plan
| Professional | $190.55 | $269.15 | $323.59 | |
United
| Professional | $165.96 | $288.40 | $380.19 |