| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $112.50 | $112.50 | $140.63 | |
Medica
| Facility | $115.56 | $115.56 | $115.56 | |
Midlands
| Professional | $112.28 | $112.28 | $198.35 | |
Sanford Health Plan
| Professional | $32.63 | $32.63 | $32.63 |