| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $33.88 | $45.71 | |
Cigna
| Professional | $32.36 | $40.74 | $41.69 | |
Medica
| Professional | $30.20 | $37.15 | $123.03 | |
Midlands
| Professional | $47.86 | $57.54 | $64.57 | |
Midlands
| Professional | $38.90 | $43.65 | $81.28 | |
Sanford Health Plan
| Professional | $40.74 | $56.23 | $75.86 | |
United
| Professional | $30.20 | $34.67 | $85.11 | |
Wellmark
| Professional | $47.86 | $52.48 | $61.66 |