| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $365.92 | $387.99 | $484.99 | |
Medica
| Professional | $1,692.26 | $1,692.26 | $1,692.26 | |
Midlands
| Facility | $279.95 | $279.95 | $322.00 | |
Midlands
| Professional | $268.00 | $291.00 | $371.95 | |
Sanford Health Plan
| Professional | $222.68 | $301.12 | $306.16 |