| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.12 | $215.23 | $338.91 | |
Medica
| Professional | $1,297.00 | $1,297.00 | $1,297.00 | |
Midlands
| Facility | $192.10 | $192.10 | $192.10 | |
Midlands
| Professional | $148.22 | $204.05 | $247.51 | |
Sanford Health Plan
| Professional | $94.97 | $194.61 | $217.08 |