| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.00 | $24.35 | $48.69 | |
Medica
| Professional | $491.00 | $491.00 | $491.00 | |
Midlands
| Facility | $24.40 | $24.40 | $24.40 | |
Midlands
| Professional | $17.25 | $24.40 | $33.00 | |
Sanford Health Plan
| Professional | $17.82 | $26.11 | $27.87 |