| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $94.59 | $130.11 | $162.63 | |
Medica
| Professional | $876.00 | $876.00 | $876.00 | |
Midlands
| Facility | $91.34 | $91.34 | $91.34 | |
Midlands
| Professional | $70.48 | $126.01 | $214.02 | |
Sanford Health Plan
| Professional | $77.23 | $104.44 | $127.42 |