| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.14 | $34.96 | $165.54 | |
Cigna
| Professional | $30.71 | $31.15 | $38.38 | |
Medica
| Professional | $14.03 | $29.19 | $47.02 | |
Midlands
| Professional | $29.79 | $38.43 | $44.63 | |
Sanford Health Plan
| Professional | $21.02 | $27.04 | $37.15 | |
United
| Professional | $19.89 | $29.22 | $47.02 | |
Wellmark
| Professional | $33.90 | $33.90 | $33.90 |