| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $123.00 | $124.23 | $153.75 | |
Medica
| Professional | $466.06 | $466.06 | $466.06 | |
Midlands
| Facility | $154.00 | $154.00 | $154.00 | |
Midlands
| Professional | $121.16 | $131.56 | $141.00 | |
Sanford Health Plan
| Professional | $139.44 | $188.57 | $191.72 |