| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.44 | $70.79 | $125.89 | |
Medica
| Facility | $25.70 | $52.48 | $114.82 | |
Medica
| Professional | $93.33 | $93.33 | $199.53 | |
Midlands
| Professional | $25.12 | $25.12 | $100.00 | |
Sanford Health Plan
| Professional | $53.70 | $74.13 | $75.86 |