| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $103.88 | $103.88 | $129.84 | |
Medica
| Facility | $178.05 | $178.05 | $178.05 | |
Midlands
| Professional | $109.95 | $109.95 | $134.97 | |
Sanford Health Plan
| Professional | $118.75 | $197.92 | $197.92 |