| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.33 | $224.68 | $387.07 | |
Cigna
| Professional | $256.88 | $321.08 | $321.08 | |
Medica
| Professional | $216.00 | $403.03 | $561.02 | |
Midlands
| Professional | $339.98 | $403.03 | $631.72 | |
Sanford Health Plan
| Professional | $280.39 | $375.77 | $445.63 | |
United
| Professional | $275.22 | $320.58 | $534.29 | |
Wellmark
| Professional | $412.30 | $485.00 | $485.00 |