| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.11 | $41.69 | $41.69 | |
Medica
| Facility | $22.91 | $43.65 | $181.97 | |
Medica
| Professional | $45.71 | $190.55 | $190.55 | |
Midlands
| Professional | $45.71 | $45.71 | $45.71 | |
Sanford Health Plan
| Professional | $28.18 | $46.77 | $69.18 |