| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $123.03 | $186.21 | $275.42 | |
Medica
| Facility | $93.33 | $147.91 | $213.80 | |
Medica
| Professional | $407.38 | $575.44 | $575.44 | |
Midlands
| Professional | $131.83 | $186.21 | $281.84 | |
Sanford Health Plan
| Professional | $138.04 | $162.18 | $213.80 |