| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $215.37 | $245.82 | $269.22 | |
Medica
| Facility | $520.20 | $520.20 | $520.20 | |
Medica
| Professional | $180.66 | $180.66 | $180.66 | |
Midlands
| Facility | $195.20 | $195.20 | $196.00 | |
Midlands
| Professional | $136.88 | $174.00 | $260.13 | |
Sanford Health Plan
| Professional | $153.52 | $157.68 | $158.71 |