| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $54.95 | $67.61 | |
Cigna
| Professional | $74.13 | $95.50 | $120.23 | |
Medica
| Professional | $54.95 | $75.86 | $346.74 | |
Midlands
| Professional | $74.13 | $107.15 | $112.20 | |
Sanford Health Plan
| Professional | $50.12 | $72.44 | $93.33 | |
United
| Professional | $53.70 | $81.28 | $112.20 | |
Wellmark
| Professional | $58.88 | $61.66 | $72.44 |