| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.00 | $170.70 | $186.66 | |
Cigna
| Professional | $189.75 | $237.19 | $237.19 | |
Medica
| Professional | $193.40 | $299.48 | $1,090.08 | |
Midlands
| Professional | $251.33 | $291.81 | $436.22 | |
Sanford Health Plan
| Professional | $201.07 | $249.83 | $335.09 | |
United
| Professional | $193.40 | $299.48 | $351.64 | |
Wellmark
| Professional | $208.40 | $252.50 | $252.50 |