| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.48 | $60.50 | $75.63 | |
Medica
| Facility | $44.47 | $44.47 | $53.65 | |
Medica
| Professional | $128.36 | $128.36 | $128.36 | |
Midlands
| Facility | $55.00 | $55.00 | $55.00 | |
Midlands
| Professional | $41.00 | $53.51 | $57.15 | |
Sanford Health Plan
| Professional | $28.95 | $29.10 | $44.58 |