| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $196.33 | $642.86 | $1,105.34 | |
Medica
| Professional | $916.00 | $2,053.30 | $2,053.30 | |
Midlands
| Facility | $170.00 | $170.00 | $586.85 | |
Midlands
| Professional | $126.11 | $195.00 | $887.20 | |
Sanford Health Plan
| Professional | $180.28 | $742.66 | $755.07 |