| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $402.83 | $492.57 | $615.71 | |
Medica
| Facility | $187.68 | $187.68 | $197.01 | |
Midlands
| Professional | $132.00 | $254.28 | $436.39 | |
Sanford Health Plan
| Professional | $107.23 | $266.23 | $375.65 |