| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $117.49 | $117.49 | $117.49 | |
Medica
| Facility | $54.95 | $87.10 | $125.89 | |
Midlands
| Professional | $141.25 | $141.25 | $162.18 | |
Sanford Health Plan
| Professional | $77.62 | $100.00 | $141.25 | |
United
| Facility | $39.81 | $39.81 | $39.81 |