| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.47 | $186.23 | $194.29 | |
Cigna
| Professional | $228.00 | $285.00 | $285.00 | |
Medica
| Professional | $240.04 | $369.43 | $1,338.62 | |
Midlands
| Professional | $300.83 | $364.21 | $547.49 | |
Sanford Health Plan
| Professional | $240.66 | $299.02 | $401.08 | |
United
| Professional | $248.68 | $381.89 | $452.21 | |
Wellmark
| Professional | $249.40 | $302.20 | $302.20 |