| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.50 | $59.25 | $171.78 | |
Medica
| Professional | $119.81 | $119.81 | $364.11 | |
Midlands
| Facility | $116.00 | $116.00 | $116.90 | |
Midlands
| Professional | $93.08 | $116.90 | $155.66 | |
Sanford Health Plan
| Professional | $75.97 | $97.82 | $132.29 |