| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $177.83 | $223.87 | $288.40 | |
Medica
| Facility | $275.42 | $275.42 | $275.42 | |
Medica
| Professional | $562.34 | $776.25 | $776.25 | |
Midlands
| Professional | $186.21 | $186.21 | $194.98 | |
Midlands
| Professional | $144.54 | $186.21 | $288.40 | |
Sanford Health Plan
| Professional | $107.15 | $151.36 | $190.55 | |
United
| Professional | $95.50 | $131.83 | $251.19 |