| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.05 | $158.05 | $189.09 | |
Cigna
| Professional | $194.63 | $243.28 | $243.28 | |
Medica
| Professional | $163.60 | $303.93 | $423.86 | |
Midlands
| Professional | $256.83 | $303.93 | $479.20 | |
Sanford Health Plan
| Professional | $211.53 | $285.51 | $337.87 | |
United
| Professional | $208.91 | $237.48 | $403.68 | |
Wellmark
| Professional | $312.39 | $367.60 | $367.60 |