| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.36 | $16.39 | $19.59 | |
Cigna
| Professional | $18.00 | $22.50 | $26.01 | |
Medica
| Professional | $25.11 | $46.09 | $103.02 | |
Midlands
| Professional | $24.26 | $26.66 | $30.09 | |
Sanford Health Plan
| Professional | $19.41 | $20.52 | $31.06 | |
United
| Professional | $19.70 | $32.45 | $32.45 | |
Wellmark
| Professional | $20.10 | $23.70 | $24.40 |