| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $151.62 | $185.39 | $231.74 | |
Medica
| Facility | $219.35 | $219.35 | $393.76 | |
Midlands
| Professional | $91.54 | $173.16 | $258.00 | |
Sanford Health Plan
| Professional | $94.07 | $134.83 | $167.17 |