| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.23 | $118.96 | $728.91 | |
Cigna
| Professional | $104.22 | $128.41 | $160.52 | |
Medica
| Professional | $71.69 | $117.31 | $446.74 | |
Midlands
| Professional | $94.04 | $127.29 | $157.03 | |
Sanford Health Plan
| Professional | $76.55 | $102.12 | $117.74 | |
United
| Professional | $71.69 | $110.79 | $132.88 | |
Wellmark
| Professional | $114.70 | $140.40 | $140.40 |