| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.73 | $36.46 | $51.69 | |
Medica
| Professional | $183.00 | $268.88 | $268.88 | |
Midlands
| Facility | $37.00 | $37.00 | $37.00 | |
Midlands
| Professional | $25.00 | $37.22 | $50.80 | |
Sanford Health Plan
| Professional | $26.05 | $33.00 | $40.61 |