| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.62 | $114.62 | $137.05 | |
Cigna
| Professional | $141.00 | $176.25 | $176.25 | |
Medica
| Professional | $118.84 | $220.12 | $307.80 | |
Midlands
| Professional | $186.51 | $220.12 | $347.08 | |
Sanford Health Plan
| Professional | $153.26 | $206.47 | $244.69 | |
United
| Professional | $151.38 | $175.88 | $293.14 | |
Wellmark
| Professional | $226.80 | $266.80 | $266.80 |