| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $147.81 | $180.74 | $225.92 | |
Medica
| Facility | $111.43 | $129.15 | $177.78 | |
Medica
| Professional | $418.15 | $418.15 | $418.15 | |
Midlands
| Facility | $155.00 | $158.00 | $158.00 | |
Midlands
| Professional | $119.00 | $158.00 | $175.50 | |
Sanford Health Plan
| Professional | $100.34 | $133.79 | $139.22 |