| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $160.75 | $226.83 | $301.39 | |
Medica
| Facility | $385.50 | $385.50 | $385.50 | |
Medica
| Professional | $607.94 | $607.94 | $801.06 | |
Midlands
| Facility | $56.00 | $59.93 | $243.10 | |
Midlands
| Professional | $47.71 | $59.93 | $99.07 | |
Sanford Health Plan
| Professional | $48.24 | $65.56 | $172.71 |