| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $225.72 | $227.97 | $282.14 | |
Medica
| Professional | $626.71 | $626.71 | $626.71 | |
Midlands
| Facility | $204.24 | $204.24 | $204.24 | |
Midlands
| Professional | $143.00 | $159.00 | $270.58 | |
Sanford Health Plan
| Professional | $136.00 | $222.22 | $308.05 |