| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $65.98 | $80.67 | $100.84 | |
Medica
| Facility | $48.95 | $63.03 | $94.16 | |
Medica
| Professional | $198.00 | $198.00 | $198.00 | |
Midlands
| Facility | $64.00 | $64.00 | $64.00 | |
Midlands
| Professional | $50.00 | $59.00 | $78.63 | |
Sanford Health Plan
| Professional | $39.22 | $60.34 | $61.97 |