| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $156.47 | $215.23 | $412.92 | |
Medica
| Professional | $1,017.00 | $1,017.00 | $1,017.00 | |
Midlands
| Facility | $205.74 | $205.74 | $205.74 | |
Midlands
| Professional | $146.25 | $205.74 | $282.63 | |
Sanford Health Plan
| Professional | $96.54 | $195.62 | $219.95 |