| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $94.87 | $130.50 | $204.51 | |
Medica
| Facility | $98.42 | $114.80 | $156.90 | |
Medica
| Professional | $322.00 | $322.00 | $491.77 | |
Midlands
| Professional | $101.20 | $143.00 | $158.00 | |
Sanford Health Plan
| Professional | $101.92 | $106.94 | $106.94 |