| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.88 | $34.67 | $42.66 | |
Medica
| Professional | $16.98 | $28.18 | $173.78 | |
Midlands
| Professional | $35.48 | $35.48 | $35.48 | |
Midlands
| Professional | $35.48 | $35.48 | $35.48 | |
Sanford Health Plan
| Professional | $19.95 | $22.91 | $40.74 | |
United
| Professional | $17.78 | $28.18 | $36.31 |