| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $36.31 | $46.77 | |
Cigna
| Professional | $72.44 | $87.10 | $109.65 | |
Medica
| Professional | $36.31 | $72.44 | $251.19 | |
Midlands
| Professional | $42.66 | $63.10 | $81.28 | |
Sanford Health Plan
| Professional | $35.48 | $48.98 | $77.62 | |
United
| Professional | $38.02 | $60.26 | $87.10 | |
Wellmark
| Professional | $39.81 | $48.98 | $66.07 |