| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.07 | $261.70 | $315.11 | |
Medica
| Professional | $623.53 | $623.53 | $657.30 | |
Midlands
| Facility | $198.86 | $198.86 | $222.00 | |
Midlands
| Professional | $158.33 | $198.86 | $266.72 | |
Sanford Health Plan
| Professional | $77.51 | $158.59 | $209.45 |