| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $11.44 | $14.16 | $17.45 | |
Medica
| Professional | $56.00 | $248.00 | $248.00 | |
Midlands
| Facility | $11.21 | $11.21 | $60.00 | |
Midlands
| Professional | $8.34 | $15.16 | $63.00 | |
Sanford Health Plan
| Professional | $9.01 | $12.18 | $47.53 |