| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $195.38 | $197.33 | $244.22 | |
Medica
| Facility | $360.15 | $360.15 | $360.15 | |
Midlands
| Professional | $212.00 | $262.97 | $403.39 | |
Sanford Health Plan
| Professional | $213.61 | $213.61 | $213.61 |