| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.83 | $208.83 | $253.00 | |
Cigna
| Professional | $250.50 | $313.13 | $313.13 | |
Medica
| Professional | $211.02 | $416.64 | $634.14 | |
Midlands
| Professional | $384.27 | $416.64 | $640.27 | |
Sanford Health Plan
| Professional | $308.50 | $411.27 | $481.03 | |
United
| Professional | $229.15 | $332.17 | $603.94 | |
Wellmark
| Professional | $402.40 | $473.40 | $473.40 |