| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.81 | $381.75 | $742.59 | |
Cigna
| Professional | $399.00 | $498.75 | $498.75 | |
Medica
| Professional | $335.88 | $545.66 | $732.10 | |
Midlands
| Professional | $446.89 | $545.66 | $964.39 | |
Sanford Health Plan
| Professional | $466.12 | $589.53 | $680.81 | |
United
| Professional | $418.34 | $441.90 | $697.24 | |
Wellmark
| Professional | $640.29 | $753.30 | $753.30 |