| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $91.20 | $154.88 | |
Cigna
| Professional | $77.62 | $77.62 | $97.72 | |
Medica
| Professional | $33.88 | $70.79 | $120.23 | |
Midlands
| Professional | $74.13 | $74.13 | $74.13 | |
Sanford Health Plan
| Professional | $50.12 | $67.61 | $93.33 | |
United
| Professional | $54.95 | $74.13 | $120.23 |