| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $85.84 | $87.08 | $107.30 | |
Medica
| Professional | $1,070.79 | $1,070.79 | $1,070.79 | |
Midlands
| Facility | $64.28 | $64.28 | $74.00 | |
Midlands
| Professional | $51.18 | $64.28 | $85.14 | |
Sanford Health Plan
| Professional | $50.74 | $71.36 | $72.56 |