| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.95 | $109.93 | $138.12 | |
Cigna
| Professional | $88.98 | $113.63 | $142.03 | |
Medica
| Professional | $85.34 | $123.33 | $989.06 | |
Midlands
| Professional | $109.24 | $140.56 | $264.00 | |
Sanford Health Plan
| Professional | $109.20 | $169.65 | $193.42 | |
United
| Professional | $79.89 | $123.33 | $220.92 | |
Wellmark
| Professional | $140.00 | $169.70 | $169.70 |