| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $260.08 | $318.04 | $397.55 | |
Medica
| Professional | $876.00 | $876.00 | $876.00 | |
Midlands
| Facility | $202.00 | $222.09 | $269.00 | |
Midlands
| Professional | $181.00 | $222.09 | $269.00 | |
Sanford Health Plan
| Professional | $131.69 | $185.33 | $191.13 |