| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $201.78 | $222.04 | $277.55 | |
Medica
| Professional | $710.04 | $710.04 | $710.04 | |
Midlands
| Facility | $161.60 | $209.00 | $209.00 | |
Midlands
| Professional | $161.60 | $218.00 | $238.63 | |
Sanford Health Plan
| Professional | $135.36 | $188.81 | $207.64 |