| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.89 | $122.10 | $132.32 | |
Cigna
| Professional | $135.00 | $168.75 | $168.75 | |
Medica
| Professional | $139.57 | $216.22 | $787.82 | |
Midlands
| Professional | $178.56 | $210.46 | $314.49 | |
Sanford Health Plan
| Professional | $142.84 | $177.49 | $238.06 | |
United
| Professional | $139.57 | $222.04 | $334.66 | |
Wellmark
| Professional | $148.00 | $179.40 | $179.40 |