| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.76 | $139.76 | $162.30 | |
Cigna
| Professional | $174.00 | $217.50 | $217.50 | |
Medica
| Professional | $146.65 | $300.70 | $405.76 | |
Midlands
| Professional | $245.88 | $300.70 | $408.91 | |
Sanford Health Plan
| Professional | $198.34 | $262.25 | $309.50 | |
United
| Professional | $184.55 | $350.76 | $350.76 | |
Wellmark
| Professional | $279.80 | $329.10 | $329.10 |