| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.71 | $69.86 | $73.61 | |
Cigna
| Professional | $86.63 | $108.28 | $108.28 | |
Medica
| Professional | $90.94 | $140.25 | $510.91 | |
Midlands
| Professional | $114.02 | $138.62 | $208.34 | |
Sanford Health Plan
| Professional | $91.22 | $113.34 | $152.02 | |
United
| Professional | $90.94 | $140.25 | $215.04 | |
Wellmark
| Professional | $94.50 | $114.60 | $114.60 |