| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $144.27 | $144.27 | $144.27 | |
Cigna
| Professional | $92.19 | $144.27 | $180.34 | |
Medica
| Facility | $87.22 | $148.28 | $268.30 | |
Midlands
| Professional | $87.91 | $129.00 | $166.57 | |
Sanford Health Plan
| Professional | $130.90 | $181.30 | $181.30 |