| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $43.25 | $48.58 | |
Cigna
| Professional | $53.63 | $67.03 | $67.03 | |
Medica
| Professional | $59.92 | $91.46 | $336.96 | |
Midlands
| Professional | $70.34 | $90.66 | $136.44 | |
Sanford Health Plan
| Professional | $56.28 | $69.93 | $93.80 | |
United
| Professional | $59.92 | $91.46 | $108.94 | |
Wellmark
| Professional | $58.30 | $70.70 | $70.70 |