| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $101.89 | $103.37 | $127.37 | |
Medica
| Professional | $465.00 | $465.00 | $465.00 | |
Midlands
| Facility | $3.83 | $40.00 | $40.00 | |
Midlands
| Professional | $21.07 | $37.00 | $40.33 | |
Sanford Health Plan
| Professional | $42.25 | $42.25 | $42.25 |