| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.06 | $122.84 | $139.41 | |
Cigna
| Professional | $192.01 | $236.59 | $295.74 | |
Medica
| Professional | $125.20 | $205.73 | $779.72 | |
Midlands
| Professional | $163.44 | $222.86 | $281.39 | |
Sanford Health Plan
| Professional | $137.30 | $185.66 | $216.71 | |
United
| Professional | $117.38 | $205.73 | $252.11 | |
Wellmark
| Professional | $211.20 | $258.39 | $258.39 |