| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $41.69 | $52.48 | $52.48 | |
Medica
| Facility | $18.20 | $45.71 | $165.96 | |
Medica
| Professional | $57.54 | $234.42 | $234.42 | |
Midlands
| Professional | $57.54 | $57.54 | $57.54 | |
Sanford Health Plan
| Professional | $28.18 | $52.48 | $87.10 |