| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $105.18 | $131.47 | $287.29 | |
Medica
| Professional | $231.88 | $465.40 | $465.40 | |
Midlands
| Facility | $148.00 | $148.00 | $155.49 | |
Midlands
| Professional | $114.80 | $146.00 | $200.66 | |
Sanford Health Plan
| Professional | $77.02 | $165.76 | $172.25 |