| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $160.56 | $217.17 | $398.31 | |
Medica
| Professional | $1,017.00 | $1,017.00 | $1,157.05 | |
Midlands
| Facility | $198.37 | $198.37 | $198.37 | |
Midlands
| Professional | $144.43 | $198.37 | $244.50 | |
Sanford Health Plan
| Professional | $110.11 | $212.21 | $218.85 |