| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.73 | $252.90 | $386.50 | |
Cigna
| Professional | $256.50 | $320.63 | $320.63 | |
Medica
| Professional | $215.67 | $403.59 | $562.53 | |
Midlands
| Professional | $340.89 | $403.59 | $629.32 | |
Sanford Health Plan
| Professional | $307.63 | $410.55 | $444.36 | |
United
| Professional | $274.43 | $321.44 | $535.74 | |
Wellmark
| Professional | $411.70 | $484.30 | $484.30 |