| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $15.85 | $19.05 | |
Cigna
| Professional | $18.20 | $22.39 | $26.92 | |
Medica
| Professional | $22.39 | $32.36 | $102.33 | |
Midlands
| Professional | $23.99 | $26.92 | $38.90 | |
Midlands
| Professional | $20.42 | $20.42 | $20.42 | |
Sanford Health Plan
| Professional | $19.05 | $21.88 | $32.36 | |
United
| Professional | $19.50 | $28.18 | $35.48 | |
Wellmark
| Professional | $19.95 | $23.44 | $24.55 |