| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.75 | $188.38 | $281.18 | |
Cigna
| Professional | $196.13 | $245.16 | $245.16 | |
Medica
| Professional | $164.89 | $302.32 | $422.35 | |
Midlands
| Professional | $255.93 | $302.32 | $476.80 | |
Sanford Health Plan
| Professional | $229.98 | $310.99 | $336.60 | |
United
| Professional | $208.51 | $241.34 | $402.24 | |
Wellmark
| Professional | $314.89 | $370.50 | $370.50 |