| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.22 | $27.92 | $34.90 | |
Medica
| Professional | $78.41 | $78.41 | $89.23 | |
Midlands
| Facility | $18.09 | $18.09 | $18.09 | |
Midlands
| Professional | $18.09 | $21.89 | $38.26 | |
Sanford Health Plan
| Professional | $14.93 | $17.07 | $28.88 |