| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.79 | $109.41 | $113.64 | |
Cigna
| Professional | $135.00 | $168.75 | $168.75 | |
Medica
| Professional | $139.88 | $215.11 | $787.82 | |
Midlands
| Professional | $178.56 | $212.35 | $319.11 | |
Sanford Health Plan
| Professional | $142.84 | $177.49 | $238.06 | |
United
| Professional | $139.88 | $215.11 | $254.32 | |
Wellmark
| Professional | $148.00 | $179.40 | $179.40 |