| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $257.04 | $257.04 | $323.59 | |
Medica
| Professional | $213.80 | $380.19 | $616.60 | |
Midlands
| Professional | $407.38 | $407.38 | $407.38 | |
Sanford Health Plan
| Professional | $316.23 | $436.52 | $489.78 | |
United
| Professional | $223.87 | $380.19 | $616.60 |