| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $195.45 | $268.47 | $461.62 | |
Medica
| Facility | $176.92 | $324.45 | $476.10 | |
Medica
| Professional | $1,021.00 | $1,021.00 | $1,149.42 | |
Midlands
| Professional | $187.39 | $337.55 | $426.16 | |
Sanford Health Plan
| Professional | $204.66 | $276.76 | $316.97 |