| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.78 | $173.78 | $218.78 | |
Medica
| Professional | $147.91 | $251.19 | $407.38 | |
Midlands
| Professional | $302.00 | $302.00 | $302.00 | |
Sanford Health Plan
| Professional | $208.93 | $281.84 | $323.59 | |
United
| Professional | $162.18 | $251.19 | $407.38 |