| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $144.54 | $158.49 | |
Cigna
| Professional | $190.55 | $190.55 | $239.88 | |
Medica
| Professional | $162.18 | $295.12 | $1,096.48 | |
Midlands
| Professional | $251.19 | $295.12 | $295.12 | |
Sanford Health Plan
| Professional | $194.98 | $234.42 | $338.84 | |
United
| Professional | $199.53 | $316.23 | $380.19 | |
Wellmark
| Professional | $208.93 | $251.19 | $251.19 |