| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $225.09 | $284.62 | $355.78 | |
Medica
| Facility | $330.15 | $330.15 | $823.00 | |
Medica
| Professional | $641.84 | $641.84 | $641.84 | |
Midlands
| Facility | $249.60 | $249.60 | $365.13 | |
Midlands
| Professional | $249.60 | $249.60 | $293.82 | |
Sanford Health Plan
| Professional | $203.96 | $242.47 | $285.26 |