| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.03 | $208.03 | $252.40 | |
Cigna
| Professional | $256.50 | $320.63 | $320.63 | |
Medica
| Professional | $215.67 | $411.21 | $614.52 | |
Midlands
| Professional | $372.40 | $411.21 | $638.92 | |
Sanford Health Plan
| Professional | $322.18 | $410.55 | $466.18 | |
United
| Professional | $274.82 | $351.16 | $585.26 | |
Wellmark
| Professional | $411.70 | $484.30 | $484.30 |