| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.01 | $114.01 | $136.69 | |
Cigna
| Professional | $140.25 | $175.31 | $175.31 | |
Medica
| Professional | $122.09 | $219.57 | $307.04 | |
Midlands
| Professional | $186.06 | $219.57 | $345.88 | |
Sanford Health Plan
| Professional | $166.91 | $224.94 | $244.05 | |
United
| Professional | $150.59 | $175.45 | $292.42 | |
Wellmark
| Professional | $225.50 | $265.39 | $265.39 |