| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.46 | $25.72 | $31.83 | |
Medica
| Professional | $79.48 | $79.48 | $79.48 | |
Midlands
| Facility | $34.36 | $34.36 | $34.36 | |
Midlands
| Professional | $34.36 | $34.36 | $66.45 | |
Sanford Health Plan
| Professional | $36.40 | $36.40 | $38.19 |