| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $61.05 | $88.37 | $142.99 | |
Medica
| Facility | $139.38 | $139.38 | $139.38 | |
Medica
| Professional | $220.70 | $220.70 | $350.87 | |
Midlands
| Facility | $20.00 | $20.94 | $106.38 | |
Midlands
| Professional | $16.68 | $20.94 | $36.27 | |
Sanford Health Plan
| Professional | $16.80 | $23.21 | $75.69 |