| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $62.80 | $76.79 | $95.99 | |
Medica
| Professional | $177.81 | $177.81 | $177.81 | |
Midlands
| Facility | $66.00 | $67.23 | $67.23 | |
Midlands
| Professional | $51.00 | $67.23 | $78.26 | |
Sanford Health Plan
| Professional | $40.75 | $56.85 | $59.25 |