| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $155.13 | $156.69 | $193.93 | |
Medica
| Professional | $683.00 | $683.00 | $683.00 | |
Midlands
| Facility | $138.41 | $138.41 | $138.41 | |
Midlands
| Professional | $110.20 | $128.00 | $183.27 | |
Sanford Health Plan
| Professional | $104.21 | $148.15 | $152.78 |