| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $169.35 | $208.67 | $260.83 | |
Medica
| Professional | $653.00 | $653.00 | $653.00 | |
Midlands
| Facility | $160.85 | $160.85 | $160.85 | |
Midlands
| Professional | $111.00 | $160.85 | $219.06 | |
Sanford Health Plan
| Professional | $111.52 | $132.22 | $181.10 |