| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.98 | $79.51 | $115.03 | |
Cigna
| Professional | $141.66 | $143.72 | $177.09 | |
Medica
| Professional | $64.17 | $124.56 | $459.46 | |
Midlands
| Professional | $120.13 | $130.97 | $162.72 | |
Sanford Health Plan
| Professional | $76.22 | $109.13 | $128.72 | |
United
| Professional | $69.40 | $123.52 | $145.32 | |
Wellmark
| Professional | $99.70 | $117.30 | $121.90 |