| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.90 | $58.35 | $131.50 | |
Medica
| Professional | $116.87 | $116.87 | $304.19 | |
Midlands
| Facility | $81.00 | $81.00 | $91.23 | |
Midlands
| Professional | $72.64 | $91.23 | $131.41 | |
Sanford Health Plan
| Professional | $50.80 | $76.80 | $103.86 |