| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $20.16 | $72.00 | |
Cigna
| Professional | $25.93 | $32.40 | $92.55 | |
Medica
| Professional | $22.39 | $26.76 | $65.84 | |
Midlands
| Professional | $28.60 | $38.09 | $57.82 | |
Sanford Health Plan
| Professional | $28.79 | $43.52 | $59.51 | |
United
| Professional | $22.39 | $26.76 | $54.81 | |
Wellmark
| Professional | $38.29 | $41.70 | $49.00 |