| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $58.36 | $71.36 | $89.21 | |
Medica
| Facility | $45.57 | $59.32 | $68.34 | |
Medica
| Professional | $175.00 | $175.00 | $175.00 | |
Midlands
| Facility | $57.00 | $62.19 | $62.19 | |
Midlands
| Professional | $44.00 | $62.19 | $73.01 | |
Sanford Health Plan
| Professional | $37.71 | $52.80 | $54.91 |