| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $69.18 | $93.33 | |
Cigna
| Professional | $72.44 | $72.44 | $89.13 | |
Medica
| Professional | $35.48 | $54.95 | $60.26 | |
Midlands
| Professional | $109.65 | $109.65 | $109.65 | |
Sanford Health Plan
| Professional | $91.20 | $123.03 | $186.21 | |
United
| Professional | $29.51 | $54.95 | $141.25 | |
Wellmark
| Professional | $87.10 | $107.15 | $107.15 |