| 1. | 1. | 3. | Iowa (C) | Iowa (B) | Iowa | D | B | C | Elexis Guster, Mahnee Watts, Kaitlyn Nelson, Katharina Trost | Alexis Hernandez, Lake Kwaza, Adrianne Alexia, Montayla Holder | Madison Waymire, Courtney Wood, Megan Cunningham, Karissa Schweizer | 4:22.3724 | 17:03:50.96 | DNF |
| 6. | 2. | | Illinois (B) | Iowa | Missouri | C | A | C | Sheridan Champe, Jordyn Sindt | Elexis Guster, Mahnee Watts, Kaitlyn Nelson, Katharina Trost | Jasmine Berry, Kymbriona Taylor, Nicole Choquette, Janile Rogers | 4:01.5412 | 3:53.0724 | DNF |
| 4. | 3. | 4. | Missouri (D) | Illinois (B) | Missouri (D) | B | B | C | Jasmine Berry, Kymbriona Taylor, Nicole Choquette, Janile Rogers | Pedrya Seymour, Lindsey Rakosnik, Chloe Schmidt, Miranda Marry | Alexis Hernandez, Lake Kwaza, Adrianne Alexia, Montayla Holder | 4:01.7528 | 3:59.24 | 3:53.0724 |
| 8. | 4. | 6. | Illinois (B) | Illinois | Missouri | B | A | D | Madison Waymire, Courtney Wood, Megan Cunningham, Karissa Schweizer | Jasmine Berry, Kymbriona Taylor, Nicole Choquette, Janile Rogers | Pedrya Seymour, Lindsey Rakosnik, Chloe Schmidt, Miranda Marry | 4:23.860 | 4:01.5412 | 4:01.7528 |
| 8. | 5. | | Iowa | Missouri | Iowa | A | A | A | Sandrae Farquharson, Sydney Wells, Alyssa Felton, Erika Lark | Sandrae Farquharson, Sydney Wells, Alyssa Felton, Erika Lark | Pedrya Seymour, Lindsey Rakosnik, Chloe Schmidt, Miranda Marry | 4:22.3724 | 4:01.7528 | 3:59.24 |
| 3. | 6. | 6. | Missouri | Missouri (B) | Illinois (B) | A | B | B | Teylar Adelsberger, Courtney Brown, Kaelyn Balch, Liz Reida | Libby Luciani, Kaitlyn Fischer, Becca Batliner, Bailey Hession | Libby Luciani, Kaitlyn Fischer, Becca Batliner, Bailey Hession | 4:23.860 | 21:04:18.04 | 3:53.0724 |
| 1. | 7. | 1. | Missouri (C) | Missouri (D) | Missouri (D) | B | D | A | Madison Waymire, Courtney Wood, Megan Cunningham, Karissa Schweizer | Teylar Adelsberger, Courtney Brown, Kaelyn Balch, Liz Reida | Alexis Hernandez, Lake Kwaza, Adrianne Alexia, Montayla Holder | 3:53.0724 | 4:22.3724 | 21:04:18.04 |
| 6. | 8. | 4. | Illinois | Missouri (C) | Illinois (B) | A | C | A | Sandrae Farquharson, Sydney Wells, Alyssa Felton, Erika Lark | Madison Waymire, Courtney Wood, Megan Cunningham, Karissa Schweizer | Sheridan Champe, Jordyn Sindt | 4:23.860 | 4:23.860 | 4:23.860 |
| 6. | | 6. | Missouri (C) | Iowa (C) | Missouri (D) | B | C | A | Madison Waymire, Courtney Wood, Megan Cunningham, Karissa Schweizer | Sheridan Champe, Jordyn Sindt | Pedrya Seymour, Lindsey Rakosnik, Chloe Schmidt, Miranda Marry | 21:04:18.04 | DNF | 4:22.3724 |
