| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $110.48 | $139.69 | $174.62 | |
Medica
| Professional | $280.72 | $280.72 | $280.72 | |
Midlands
| Facility | $122.82 | $122.82 | $179.66 | |
Midlands
| Professional | $122.82 | $122.82 | $144.57 | |
Sanford Health Plan
| Professional | $100.36 | $119.31 | $140.36 |