| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.39 | $73.22 | $378.84 | |
Medica
| Professional | $638.00 | $638.00 | $687.43 | |
Midlands
| Facility | $57.74 | $199.67 | $259.12 | |
Midlands
| Professional | $57.74 | $199.67 | $259.12 | |
Sanford Health Plan
| Professional | $59.89 | $192.68 | $221.21 |