| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $256.92 | $314.16 | $392.70 | |
Medica
| Facility | $192.46 | $192.46 | $273.92 | |
Midlands
| Professional | $159.44 | $249.00 | $286.29 | |
Sanford Health Plan
| Professional | $155.78 | $161.29 | $221.81 |