| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $149.08 | $182.29 | $227.86 | |
Medica
| Professional | $728.00 | $728.00 | $728.00 | |
Midlands
| Facility | $170.63 | $182.00 | $182.00 | |
Midlands
| Professional | $141.00 | $168.67 | $170.63 | |
Sanford Health Plan
| Professional | $109.06 | $109.06 | $131.16 |