| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.84 | $191.85 | $388.58 | |
Medica
| Facility | $115.65 | $202.59 | $299.45 | |
Medica
| Professional | $1,367.00 | $1,367.00 | $1,367.00 | |
Midlands
| Professional | $141.03 | $248.00 | $347.00 | |
Sanford Health Plan
| Professional | $80.16 | $234.98 | $238.91 |