| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $63.10 | $64.57 | |
Cigna
| Professional | $128.82 | $128.82 | $158.49 | |
Medica
| Professional | $54.95 | $89.13 | $144.54 | |
Midlands
| Professional | $123.03 | $123.03 | $123.03 | |
Sanford Health Plan
| Professional | $77.62 | $112.20 | $147.91 | |
United
| Professional | $74.13 | $117.49 | $151.36 |