| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $200.36 | $220.49 | $275.61 | |
Medica
| Professional | $228.15 | $1,793.57 | $1,793.57 | |
Midlands
| Facility | $196.00 | $196.00 | $196.00 | |
Midlands
| Professional | $110.20 | $196.00 | $214.94 | |
Sanford Health Plan
| Professional | $118.27 | $179.61 | $185.23 |