| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $104.67 | $127.99 | $159.99 | |
Medica
| Facility | $161.58 | $161.58 | $327.42 | |
Midlands
| Professional | $63.52 | $119.86 | $193.00 | |
Sanford Health Plan
| Professional | $66.65 | $93.50 | $128.06 |