| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $121.68 | $122.90 | $152.10 | |
Medica
| Professional | $335.79 | $335.79 | $335.79 | |
Midlands
| Facility | $109.74 | $109.74 | $109.74 | |
Midlands
| Professional | $70.79 | $109.74 | $148.66 | |
Sanford Health Plan
| Professional | $87.96 | $118.94 | $165.69 |