| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $122.90 | $124.13 | $153.62 | |
Medica
| Professional | $500.00 | $500.00 | $500.00 | |
Midlands
| Facility | $109.19 | $109.19 | $109.19 | |
Midlands
| Professional | $86.00 | $96.00 | $144.02 | |
Sanford Health Plan
| Professional | $76.51 | $118.94 | $165.69 |