| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.92 | $137.40 | $151.66 | |
Cigna
| Professional | $141.00 | $176.25 | $176.25 | |
Medica
| Professional | $122.09 | $220.12 | $307.04 | |
Midlands
| Professional | $186.06 | $220.12 | $347.08 | |
Sanford Health Plan
| Professional | $167.76 | $226.17 | $245.32 | |
United
| Professional | $151.79 | $259.08 | $307.04 | |
Wellmark
| Professional | $226.80 | $266.80 | $266.80 |