| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.62 | $138.16 | $1,379.01 | |
Medica
| Professional | $525.38 | $2,289.21 | $2,289.21 | |
Midlands
| Facility | $394.00 | $735.06 | $735.06 | |
Midlands
| Professional | $153.00 | $567.17 | $961.03 | |
Sanford Health Plan
| Professional | $79.95 | $811.12 | $824.68 |