| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $254.31 | $310.27 | $387.86 | |
Medica
| Facility | $170.84 | $221.11 | $278.24 | |
Medica
| Professional | $702.03 | $702.03 | $826.04 | |
Midlands
| Professional | $198.48 | $363.26 | $371.91 | |
Sanford Health Plan
| Professional | $220.46 | $220.46 | $220.46 |