| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $55.24 | $69.84 | $87.31 | |
Medica
| Professional | $122.82 | $122.82 | $122.82 | |
Midlands
| Facility | $61.41 | $61.41 | $89.83 | |
Midlands
| Professional | $61.41 | $61.41 | $72.29 | |
Sanford Health Plan
| Professional | $50.18 | $59.65 | $70.18 |