| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.70 | $24.07 | $31.12 | |
Cigna
| Professional | $32.63 | $40.78 | $44.53 | |
Medica
| Professional | $43.19 | $154.47 | $169.93 | |
Midlands
| Professional | $35.90 | $43.19 | $49.14 | |
Sanford Health Plan
| Professional | $27.25 | $34.54 | $57.57 | |
United
| Professional | $26.74 | $57.69 | $66.55 | |
Wellmark
| Professional | $35.79 | $42.10 | $47.30 |