| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $453.58 | $554.63 | $693.28 | |
Medica
| Facility | $199.88 | $199.88 | $215.14 | |
Midlands
| Professional | $132.00 | $285.72 | $491.51 | |
Sanford Health Plan
| Professional | $99.85 | $299.36 | $426.21 |