| 1. | 1. | Northwestern (Iowa) | Northwestern (Iowa) | Breanna Harthoorn, Rebekah Muilenburg, Katie Landhuis, Katie Bosch | Sarah Van Wyk, Kate Wnek, Jenna Stephens, Hailey Pullman | 12:00.62 | 46:12:20.6068 |
| 2. | 5. | Central College | Northwestern (Iowa) | Holly McKinney, Kate Patton, Kiki Pingel, Evie Kammeyer | Holly McKinney, Kate Patton, Kiki Pingel, Evie Kammeyer | 0:12:16.7732 | 0:12:16.7732 |
| 3. | 2. | Morningside | Coe | Michelle Mumm, Eleka Joseph, Emalee Fundermann, Allison Higgins | Katalina Stai, Carlyn Cole, McKayla Morris, Mareena Franke | 12:18.53 | 12:21.0114 |
| 4. | 5. | Luther | Central College | Kaia Bierman, Shannon Baker, Amelia Hornseth, Kenzie Carney | Sarah Van Wyk, Kate Wnek, Jenna Stephens, Hailey Pullman | 46:12:20.6068 | 16:12:34.98 |
| 5. | 6. | Dordt | Coe | Sarah Van Wyk, Kate Wnek, Jenna Stephens, Hailey Pullman | Michelle Mumm, Eleka Joseph, Emalee Fundermann, Allison Higgins | 12:21.0114 | 40:14:31.563 |
| 6. | 4. | St. Ambrose | Graceland | Abby Sears, Abby Hammer, Corrie Reilley, Ashley Plumb | Abby Sears, Abby Hammer, Corrie Reilley, Ashley Plumb | 16:12:34.98 | 12:21.0114 |
| 7. | 4. | Coe | Graceland | Katalina Stai, Carlyn Cole, McKayla Morris, Mareena Franke | Kaia Bierman, Shannon Baker, Amelia Hornseth, Kenzie Carney | 13:22.19 | 46:12:20.6068 |
| 8. | 6. | Graceland | Graceland | Kami Tabor, Valerya Galindo, Kalee Dowell, Marina Flores | Michelle Mumm, Eleka Joseph, Emalee Fundermann, Allison Higgins | 40:14:31.563 | 12:21.0114 |
