| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.55 | $77.65 | $84.63 | |
Cigna
| Professional | $86.63 | $108.28 | $108.28 | |
Medica
| Professional | $90.62 | $140.91 | $510.91 | |
Midlands
| Professional | $114.02 | $136.53 | $204.60 | |
Sanford Health Plan
| Professional | $91.22 | $113.34 | $152.02 | |
United
| Professional | $90.62 | $140.91 | $164.76 | |
Wellmark
| Professional | $94.50 | $114.60 | $114.60 |