| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $274.05 | $335.10 | $418.88 | |
Medica
| Professional | $665.33 | $665.33 | $665.33 | |
Midlands
| Facility | $207.00 | $270.68 | $270.68 | |
Midlands
| Professional | $164.25 | $225.00 | $288.92 | |
Sanford Health Plan
| Professional | $154.25 | $225.94 | $233.01 |