| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.55 | $170.24 | $234.36 | |
Medica
| Professional | $95.00 | $406.32 | $406.32 | |
Midlands
| Facility | $120.00 | $120.00 | $124.33 | |
Midlands
| Professional | $98.22 | $124.33 | $147.56 | |
Sanford Health Plan
| Professional | $10.16 | $100.82 | $136.35 |