| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.49 | $67.59 | $101.85 | |
Medica
| Professional | $125.79 | $125.79 | $364.15 | |
Midlands
| Facility | $71.00 | $71.00 | $98.00 | |
Midlands
| Professional | $56.53 | $71.00 | $95.89 | |
Sanford Health Plan
| Professional | $55.13 | $78.33 | $123.30 |