| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $61.66 | $144.54 | |
Cigna
| Professional | $60.26 | $75.86 | $77.62 | |
Medica
| Professional | $52.48 | $61.66 | $151.36 | |
Midlands
| Professional | $89.13 | $104.71 | $107.15 | |
Midlands
| Professional | $70.79 | $70.79 | $114.82 | |
Sanford Health Plan
| Professional | $74.13 | $95.50 | $138.04 | |
United
| Professional | $52.48 | $57.54 | $147.91 | |
Wellmark
| Professional | $89.13 | $97.72 | $114.82 |