| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $131.66 | $159.82 | $197.51 | |
Medica
| Professional | $401.42 | $401.42 | $414.09 | |
Midlands
| Facility | $122.54 | $122.54 | $147.00 | |
Midlands
| Professional | $97.56 | $122.54 | $164.35 | |
Sanford Health Plan
| Professional | $96.11 | $103.30 | $129.96 |